SSK Plastic Surgery Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

SSK PLASTIC SURGERY INC

Practice address

500 Superior Ave
340
Newport Beach, CA 92663-3657

Phone

(949) 515-7874

Fax

(949) 650-7874

NPI assigned

Jul 25, 2014

Last updated

Dec 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shahrooz Sean Kelishadi, M.D.NPI 1831225952

Title

Owner/President

Phone

(949) 395-2266

Specialties & licenses 1

Addresses

Locations

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.

• Shahrooz Sean Kelishadi, MD

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1831225952
  Authorized official Same address or phone

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1578971230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21163 NEWPORT COAST DR # 132",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571123",
            "telephone_number": "949-395-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUPERIOR AVE",
            "address_2": "340",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633657",
            "telephone_number": "949-515-7874",
            "fax_number": "949-650-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSK PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "KELISHADI",
        "authorized_official_first_name": "SHAHROOZ",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-395-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aditi Bhargava Springstubb, M.D.
• Springwell Haven LLC
• Jeanne Maire Spudick, D.O.
• Ravi Srinivas, MD
• SSC Newport Beach Operating Company LP (Flagship Healthcare Center)
• St. Jude Hospital Yorba Linda (Wellness-Newport Center)
• Jessica Jones St.Clair, MFT
• Debra Dee St.Lawrence-Sussman, LMFT
• Stabilize Physical Therapy, Inc.
• Angela Rose Stafford, MS DC

• Plastic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, 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 Dec 9, 2016; 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.