San Francisco Oculofacial Plastic Surgery, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A132513 Issued in CA

Legal business name

SAN FRANCISCO OCULOFACIAL PLASTIC SURGERY, P.C.

Practice address

2186 Geary Blvd Ste 212
San Francisco, CA 94115-3456

Phone

(415) 799-8800

NPI assigned

Sep 30, 2014

Last updated

Sep 30, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kasra Eliasieh, M.D.

Title

Director

Phone

(415) 799-8800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1467855775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 GEARY BLVD STE 212",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153456",
            "telephone_number": "415-799-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 GEARY BLVD STE 212",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153456",
            "telephone_number": "415-799-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO OCULOFACIAL PLASTIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "ELIASIEH",
        "authorized_official_first_name": "KASRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-799-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A132513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.