Reagan Plastic Surgery Apc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G85875 Issued in CA

Legal business name

REAGAN PLASTIC SURGERY APC

Practice address

6221 Metropolitan St
#100
Carlsbad, CA 92009-3096

Phone

(760) 707-5090

Fax

(760) 707-5094

NPI assigned

Nov 2, 2010

Last updated

Nov 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Reagan, M.D.NPI 1639162332

Title

Owner

Phone

(760) 707-5090

Specialties & licenses 1

Addresses

Locations

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.

• Brian Joseph Reagan, M.D.

  • Specialist
  • Carlsbad, CA
  • NPI 1639162332
  Authorized official Same address or phone

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1700186079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST",
            "address_2": "#100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-707-5090",
            "fax_number": "760-707-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST",
            "address_2": "#100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-707-5090",
            "fax_number": "760-707-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGAN PLASTIC SURGERY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-707-5090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G85875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Rayo Galicia
• Bruce Rays, PSY.D.
• Sabina Rea
• Caleb Reaber, PHARMD
• Reach Therapy, Inc.
• Brian Joseph Reagan, M.D.
• Savannah Reamey
• Carlos Rebollar
• Jasmine Desaree Redaelly
• Amanda Reddy

• Specialist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.