Ethan Baughman, M.D. PH.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A158793 Issued in CA

Practice address

32144 Agoura Rd Ste 220
Westlake Village, CA 91361-4057

Phone

(805) 409-7537

Fax

(310) 363-7610

NPI assigned

Jun 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ebaughman1293745@direct.uclahealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ethan J. Baughman, M.D. Inc., a Medical Corporation

  • Plastic and Reconstructive Surgery Physician
  • Westlake Village, CA
  • NPI 1770050460
  Medicare reassignment NPD Authorized official
• Grossman Medical Group Inc

  • Plastic and Reconstructive Surgery Physician
  • West Hills, CA
  • NPI 1518916311
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Los Robles Regional Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1619316783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD STE 220",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614057",
            "telephone_number": "805-409-7537",
            "fax_number": "310-363-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD STE 220",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614057",
            "telephone_number": "805-409-7537",
            "fax_number": "310-363-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGHMAN",
        "first_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "2013020089",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A158793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062362",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Bartlett
• Allyson Basch, OTD
• Michael Robert Bastien, MD
• Jason S Batanides, LMFT
• Michael Dehn Bateman, DC
• Beth Michelle Baumeister, PH.D.
• Jeffrey M Bauwens, RNFA
• Harpreet Singh Bawa, M.D.
• Baxter Family Therapy Inc
• Holly Tuesday Baxter, LMFT

• Plastic Surgery Physician in Westlake Village, CA
• Providers in Westlake Village, 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 Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.