NPIMap

Organization Active NPI

Regents of the University of California

  • Plastic Surgery Physician
  • Orange, CA
National Provider Identifier
1417119231
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G57437 Issued in CA
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Practice address
200 S Manchester Ave
Ste 650
Orange, CA 92868-3224
Phone
(714) 456-6655
Fax
(714) 456-2280
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gregory Evans, MD
Title
Department Chair
Phone
(714) 456-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G57437 CA Primary

Addresses

Primary practice location

200 S Manchester Ave
Ste 650
Orange, CA 92868-3224

Mailing address

PO Box 515072
Los Angeles, CA 90051-5072
Phone (714) 456-6655

Other names 1

  • AESTHETIC & PLASTIC SURGERY INSTITUTE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aesthetic and Plastic Surgery Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1417119231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515072",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515072",
            "telephone_number": "714-456-6655",
            "fax_number": "714-456-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE",
            "address_2": "STE 650",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683224",
            "telephone_number": "714-456-6655",
            "fax_number": "714-456-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENTS OF THE UNIVERSITY OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DEPARTMENT CHAIR",
        "authorized_official_telephone_number": "714-456-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G57437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AESTHETIC & PLASTIC SURGERY INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.