Premier Plastic Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PREMIER PLASTIC SURGERY

Practice address

1795 El Camino Real
Suite 200
Palo Alto, CA 94306-1164

Phone

(650) 321-7100

Fax

(650) 321-3220

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

James Newman, MD

Title

Facility Director

Phone

(650) 321-7100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1679892491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 EL CAMINO REAL",
            "address_2": "SUITE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061164",
            "telephone_number": "650-321-7100",
            "fax_number": "650-321-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 EL CAMINO REAL",
            "address_2": "SUITE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061164",
            "telephone_number": "650-321-7100",
            "fax_number": "650-321-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "650-321-7100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF ACCREDITED AMBULATORY SURGICAL FACILITIES",
            "identifier": "8401",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priya Prasad, MD
• Ravinesh Prasad, BIOMED
• Janey Pratt, MD
• Mark Pratt, PH.D., M.S.
• Robyn Preising, MD
• Premier Plastic Surgery Center
• Premise Health of California Medical PC
• Barry Harris Jay Press, M.D.
• Sherrie Leta Prezant, LCSW
• Allison Keely Pribnow, MD

• Ambulatory Surgical Clinic/Center in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.