Active NPI
Nicholas Stephen Cormier, M.D.
- Plastic Surgery Physician
- San Francisco, CA
National Provider Identifier
1639802002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A180774
- Practice address
- 45 Castro Street
Suite 121
San Francisco, CA 94114 - Phone
- (415) 565-6136
- NPI assigned
- Jul 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A180774 | CA | Primary |
Addresses
Primary practice location
45 Castro Street
Suite 121
San Francisco, CA 94114
Mailing address
45 Castro St
Suite 121
San Francisco, CA 94114
Phone (415) 565-6136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A180774 | Other | CA | MEDICAL LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A180774 | CA | MD | Plastic Surgery Physician |
Interoperability endpoints
- ncormier628422@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1639802002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CASTRO ST",
"address_2": "SUITE 121",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94114",
"telephone_number": "415-565-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CASTRO STREET",
"address_2": "SUITE 121",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94114",
"telephone_number": "415-565-6136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORMIER",
"first_name": "NICHOLAS",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-05",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A180774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENCE",
"identifier": "A180774",
"state": "CA"
}
],
"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 Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.