Pavlo Isak PSC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PAVLO ISAK PSC

Practice address

27700 Medical Center Rd
Mission Viejo, CA 92691-6426

Phone

(949) 357-2897

Fax

(949) 450-0804

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Pavlo Isak, MDNPI 1922673276

Title

President

Phone

(949) 357-2897

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Pavlo Isak, MD

  • Plastic Surgery Physician
  • Irvine, CA
  • NPI 1922673276
  Medicare reassignment Authorized official
• Jason M. Miller, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Camp Pendleton, CA
  • NPI 1265473474
  NPD (past)
• Tara Yuan, MD

  • Psychosomatic Medicine Physician
  • Mission Viejo, CA
  • NPI 1124101647

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1629704804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27700 MEDICAL CENTER RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916426",
            "telephone_number": "949-357-2897",
            "fax_number": "949-450-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27700 MEDICAL CENTER RD",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916426",
            "telephone_number": "949-357-2897",
            "fax_number": "949-450-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVLO ISAK PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "ISAK",
        "authorized_official_first_name": "PAVLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-357-2897",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinjal Ghanshyam Patel, RPH
• Sapana M Patel, PHARMD
• Verenice Patino
• Patricia a. Wallace, M.D., Inc.
• Paul H. Turek DC Chiropractic Inc
• Paxwell Child & Family Therapy, Inc.
• Tandis Pazoki
• Pearle Visioncare Inc (Pearle Vision #C6005)
• Daniel A. Pearlstone, SLP CCC
• Marjan Amaneh Pedarsani, DO

• Plastic Surgery Physician in Mission Viejo, CA
• Providers in Mission Viejo, 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 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.