Active NPI
Image Plastic Surgery Center a Medical Corporation
- Plastic and Reconstructive Surgery Physician
- Huntington Beach, CA
National Provider Identifier
1649698143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- G79445
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Huntington Beach, CA
- NPI 1245553882
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.