Michael Dean Vistnes, MD, FACS

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G66145 Issued in CA

Practice address

1515 El Camino Real Ste B
Palo Alto, CA 94306-1000

Phone

(650) 322-5444

Fax

(650) 328-0207

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578698353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 EL CAMINO REAL STE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061000",
            "telephone_number": "650-322-5444",
            "fax_number": "650-328-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 EL CAMINO REAL STE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061000",
            "telephone_number": "650-322-5444",
            "fax_number": "650-328-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTNES",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G66145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.