Organization Active NPI

Larry S Nichter MD & Jed H Horowitz MD

  • Plastic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1598090052
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G39915 Issued in CA
Legal business name
LARRY S NICHTER MD & JED H HOROWITZ MD
Practice address
3991 Macarthur Blvd
Suite 320
Newport Beach, CA 92660-3009
Phone
(949) 720-3888
Fax
(714) 902-1101
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Larry S Nichter, MDNPI 1710062336
Title
President/Owner
Phone
(714) 902-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X G55515 CA
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X G39915 CA Primary

Addresses

Primary practice location

3991 Macarthur Blvd
Suite 320
Newport Beach, CA 92660-3009

Mailing address

3991 Macarthur Blvd
Suite 320
Newport Beach, CA 92660-3009
Phone (949) 720-3888

Other names 1

  • Pacific Center for Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

7677 Center Ave
Ste 401
Huntington Beach, CA 92647
Phone (714) 902-1100

3991 MacArthur Blvd
Ste 320
Newport Beach, CA 92660
Phone (949) 720-3888

1441 Avocado Ave
Ste 808
Newport Beach, CA 92660
Phone (949) 720-3888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1598090052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3991 MACARTHUR BLVD",
            "address_2": "SUITE 320",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603009",
            "telephone_number": "949-720-3888",
            "fax_number": "714-902-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 MACARTHUR BLVD",
            "address_2": "SUITE 320",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603009",
            "telephone_number": "949-720-3888",
            "fax_number": "714-902-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY S NICHTER MD & JED H HOROWITZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "NICHTER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-902-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G55515",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G39915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Center for Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.