Organization Active NPI

Image Plastic Surgery Center a Medical Corporation

  • Plastic and Reconstructive Surgery Physician
  • Huntington Beach, CA
National Provider Identifier
1649698143
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
G79445 Issued in CA
Legal business name
IMAGE PLASTIC SURGERY CENTER A MEDICAL CORPORATION
Practice address
7801 Center Ave
201
Huntington Beach, CA 92647-9110
Phone
(714) 230-2430
Fax
(714) 230-2431
NPI assigned
Apr 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Peter N Newen, M.D.
Title
Owner
Phone
(714) 230-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X G79445 CA Primary

Addresses

Primary practice location

7801 Center Ave
201
Huntington Beach, CA 92647-9110

Mailing address

7801 Center Ave
201
Huntington Beach, CA 92647-9110
Phone (714) 230-2430

National Provider Directory

National Provider Directory

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": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1649698143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 CENTER AVE",
            "address_2": "201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479110",
            "telephone_number": "714-230-2430",
            "fax_number": "714-230-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 CENTER AVE",
            "address_2": "201",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479110",
            "telephone_number": "714-230-2430",
            "fax_number": "714-230-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE PLASTIC SURGERY CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "NEWEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-230-2430",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G79445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.