Yngvar A Hvistendahl, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A60614 Issued in CA

Practice address

350 Bon Air Road
Suite 300
Greenbrae, CA 94904

Phone

(415) 925-2880

Fax

(415) 925-2884

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  NPD (past)
• Plastic Surgery Specialists, Inc

  • Ambulatory Surgical Clinic/Center
  • Greenbrae, CA
  • NPI 1184801854
  NPD (past)
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Novato, CA
  • NPI 1104059153
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1639280001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BON AIR ROAD",
            "address_2": "SUITE 300",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-925-2880",
            "fax_number": "415-925-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BON AIR ROAD",
            "address_2": "SUITE 300",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "94904",
            "telephone_number": "415-925-2880",
            "fax_number": "415-925-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HVISTENDAHL",
        "first_name": "YNGVAR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A60614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet Lianne Huntington, CNM
• Erin E Hurley
• Monica Hurtado Leon
• Jessica Denisse Hurtado Tapia
• Dana E Huskey, MD
• Lionel Ventus Ishikawa, PHARMD
• Joseph Jackson
• Christopher John Jacques, MD
• Amber Lynn Jaeger, M.D.
• James E Shepard Mark C Lambert & Lawrence a Levy PTRS

• Plastic Surgery Physician in Greenbrae, CA
• Providers in Greenbrae, 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 26, 2008; 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.