Active NPI
Plastic Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
National Provider Identifier
1477675841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PLASTIC SURGERY CENTER LLC
- Practice address
- 1515 El Camino Real
Suite a
Palo Alto, CA 94306-1052 - Phone
- (650) 322-2723
- Fax
- (650) 322-3260
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Commons, M.D.
- Title
- Medical Director
- Phone
- (650) 328-4571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
1515 El Camino Real
Suite a
Palo Alto, CA 94306-1052
Mailing address
1515 El Camino Real
Suite a
Palo Alto, CA 94306-1052
Phone (650) 322-2723
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0956236 | Plastic Surgery Center LLC | Certificate of waiver | Jan 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
1515 El Camino Real
Ste A
Palo Alto, CA 94306
Phone (650) 322-2723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477675841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 EL CAMINO REAL",
"address_2": "SUITE A",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061052",
"telephone_number": "650-322-2723",
"fax_number": "650-322-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 EL CAMINO REAL",
"address_2": "SUITE A",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061052",
"telephone_number": "650-322-2723",
"fax_number": "650-322-3260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COMMONS",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "650-328-4571",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.