Organization Active NPI

Dr. K Plastic Surgery, a Medical Co.

  • Special Hospital
  • Fountain Valley, CA
National Provider Identifier
1568780237
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
G87295 Issued in CA
Legal business name
DR. K PLASTIC SURGERY, A MEDICAL CO.
Practice address
11160 Warner Ave Ste 119
Fountain Valley, CA 92708-4010
Phone
(714) 444-4495
Fax
(714) 444-4498
NPI assigned
May 5, 2010
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Behrooz KalantarianNPI 1821290560
Title
Plastic Surgeon
Phone
(310) 650-2073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X G87295 CA Primary

Addresses

Primary practice location

11160 Warner Ave Ste 119
Fountain Valley, CA 92708-4010

Mailing address

11160 Warner Ave Ste 119
Fountain Valley, CA 92708-4010
Phone (714) 444-4495

National Provider Directory

National Provider Directory

Locations

11160 Warner Ave
Ste 119
Fountain Vly, CA 92708
Phone (714) 850-1872

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1568780237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 119",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084010",
            "telephone_number": "714-444-4495",
            "fax_number": "714-444-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 119",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084010",
            "telephone_number": "714-444-4495",
            "fax_number": "714-444-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. K PLASTIC SURGERY, A MEDICAL CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "KALANTARIAN",
        "authorized_official_first_name": "BEHROOZ",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "310-650-2073",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "G87295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.