Active NPI
Samaritan Plastic Surgery Center, Inc
- Ambulatory Surgical Clinic/Center
- San Jose, CA
National Provider Identifier
1487850350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SAMARITAN PLASTIC SURGERY CENTER, INC
- Practice address
- 2550 Samaritan Dr
San Jose, CA 95124-4104 - Phone
- (408) 358-3164
- Fax
- (408) 358-1088
- NPI assigned
- Jun 26, 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
- Dr. Gaeton Nola, MD
- Title
- President
- Phone
- (408) 358-3164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2550 Samaritan Dr
San Jose, CA 95124-4104
Mailing address
2550 Samaritan Dr
San Jose, CA 95124-4104
Phone (408) 358-3164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CERTIFICATION # 1602 | Other | AAAASF |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487850350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244104",
"telephone_number": "408-358-3164",
"fax_number": "408-358-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244104",
"telephone_number": "408-358-3164",
"fax_number": "408-358-1088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMARITAN PLASTIC SURGERY CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NOLA",
"authorized_official_first_name": "GAETON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-358-3164",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAAASF",
"identifier": "CERTIFICATION # 1602",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
- Samaritan Family Practice
- Samaritan Hearing Aid Specialist
- Samaritan Internal Medicine Medical Group
- Samaritan Medical Center Pharmacy
- Samaritan Orthopedic & Medical GP. Inc
- Samaritan Podiatry Group Inc.
- Samaritan Surgery Center
- Samaritan Surgical Clinic Inc
- Amira Samater
- Hussein Amirali Samji, M.D.
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.