Active NPI
Ophthalmic Facial Plastic Surgery Institute a Medical Corporation
- Specialist
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- WG62027I
- Legal business name
- OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
- Practice address
- 301 W Bastanchury Rd
Suite 191
Fullerton, CA 92835-3419 - Phone
- (714) 449-1940
- Fax
- (714) 449-1988
- NPI assigned
- Jun 7, 2006
- Organization subpart
- Yes
- Parent organization
- OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sam Goldberger, M.D.
- Title
- President
- Phone
- (714) 449-1940
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | WG62027I | CA | Primary |
Addresses
Primary practice location
301 W Bastanchury Rd
Suite 191
Fullerton, CA 92835-3419
Mailing address
9735 Wilshire Blvd.
Ste 319
Beverly Hills, CA 90212-2100
Phone (310) 276-0044
National Provider Directory
National Provider Directory- Part of
- Ornge Cty Ophthfacplastsu
Locations
301 W Bastanchury Rd
Ste 191
Fullerton, CA 92835
Phone (714) 449-1940
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Beverly Hills, CA
- NPI 1336228691
Practitioners & affiliated clinicians
Practitioners 1
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": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359676800000",
"number": "1639119050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9735 WILSHIRE BLVD.",
"address_2": "STE 319",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902122100",
"telephone_number": "310-276-0044",
"fax_number": "310-271-7003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD",
"address_2": "SUITE 191",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353419",
"telephone_number": "714-449-1940",
"fax_number": "714-449-1988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION",
"enumeration_date": "2006-06-07",
"last_updated": "2013-02-01",
"status": "A",
"authorized_official_last_name": "GOLDBERGER",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-449-1940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "WG62027I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.