NPIMap

Organization Active NPI

Plastic Surgery Body Contouring

  • Specialist
  • Corona del Mar, CA
National Provider Identifier
1558654046
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A92742 Issued in CA
Legal business name
PLASTIC SURGERY BODY CONTOURING
Practice address
2121 E Coast Hwy
Suite 260
Corona del Mar, CA 92625-1931
Phone
(949) 644-2442
Fax
(949) 644-2402
NPI assigned
May 17, 2011
Last updated
May 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Dr. Siamak Agha Mohammadi, M.D.
Title
Ceo
Phone
(949) 644-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A92742 CA Primary

Addresses

Primary practice location

2121 E Coast Hwy
Suite 260
Corona del Mar, CA 92625-1931

Mailing address

2121 E Coast Hwy
Suite 260
Corona del Mar, CA 92625-1931
Phone (949) 644-2442

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1558654046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY",
            "address_2": "SUITE 260",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251931",
            "telephone_number": "949-644-2442",
            "fax_number": "949-644-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY",
            "address_2": "SUITE 260",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251931",
            "telephone_number": "949-644-2442",
            "fax_number": "949-644-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY BODY CONTOURING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "SIAMAK",
        "authorized_official_middle_name": "AGHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-644-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A92742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.