NPIMap

Organization Active NPI

Deschamps-Braly Clinic of Plastic and Craniofacial Surgery

  • Plastic and Reconstructive Surgery Physician
  • San Francisco, CA
National Provider Identifier
1619213428
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A-121399 Issued in CA
Legal business name
DESCHAMPS-BRALY CLINIC OF PLASTIC AND CRANIOFACIAL SURGERY
Practice address
360 Post St Ste 901
San Francisco, CA 94108-4988
Phone
(415) 624-3922
Fax
(415) 276-9382
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Dr. Jordan Deschamps-Braly, MDNPI 1053451518
Title
Owner
Phone
(415) 624-3922

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X A121399 CA
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0122X A-121399 CA Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

360 Post St Ste 901
San Francisco, CA 94108-4988

Mailing address

360 Post St Ste 901
San Francisco, CA 94108-4988
Phone (415) 624-3922

National Provider Directory

National Provider Directory

Locations

360 Post St
Ste 901
San Francisco, CA 94108
Phone (415) 624-3922

450 Sutter St
Rm 1520
San Francisco, CA 94108
Phone (415) 624-3922

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": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1619213428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 POST ST STE 901",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084988",
            "telephone_number": "415-624-3922",
            "fax_number": "415-276-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 POST ST STE 901",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084988",
            "telephone_number": "415-624-3922",
            "fax_number": "415-276-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHAMPS-BRALY CLINIC OF PLASTIC AND CRANIOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "DESCHAMPS-BRALY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-624-3922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A121399",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A-121399",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.