Organization Active NPI

Plastic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1477675841
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0956236Plastic Surgery Center LLC1515 El Camino Real Ste a, Palo Alto, CA 94306Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.