Organization Active NPI

Kaniff Cosmetic Medical Center, Inc

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Sacramento, CA
National Provider Identifier
1669515862
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
KANIFF COSMETIC MEDICAL CENTER, INC
Practice address
631 Fulton Ave
Sacramento, CA 95825-4813
Phone
(916) 480-9080
Fax
(916) 480-9411
NPI assigned
Feb 15, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Thomas E Kaniff, M.D.NPI 1669700712
Title
President
Phone
(916) 480-9080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X NU Primary

Addresses

Primary practice location

631 Fulton Ave
Sacramento, CA 95825-4813

Mailing address

631 Fulton Ave
Sacramento, CA 95825-4813
Phone (916) 480-9080

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2104823Kaniff Cosmetic Medical Center631 Fulton Ave, Sacramento, CA 95825Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory

Locations

631 Fulton Ave
Sacramento, CA 95825
Phone (916) 480-9080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1669515862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254813",
            "telephone_number": "916-480-9080",
            "fax_number": "916-480-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254813",
            "telephone_number": "916-480-9080",
            "fax_number": "916-480-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANIFF COSMETIC MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KANIFF",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-480-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.