Active NPI
Kaniff Cosmetic Medical Center, Inc
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- 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, 2008
- 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
- Dr. Thomas E Kaniff, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2104823 | Kaniff Cosmetic Medical Center | Certificate of waiver | Nov 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Sacramento, CA
- NPI 1669700712
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.