Organization Active NPI

Keyian Paydar, MD, PC

  • Plastic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1700405586
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
KEYIAN PAYDAR, MD, PC
Doing business as
Paydar Plastic Surgery
Practice address
1401 Avocado Ave Ste 301
Newport Beach, CA 92660-8729
Phone
(949) 755-0575
Fax
(949) 755-0580
NPI assigned
Apr 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Authorized official

Name
Keyian Z Paydar, MD
Title
Owner
Phone
(415) 307-0441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

1401 Avocado Ave Ste 301
Newport Beach, CA 92660-8729

Mailing address

20 Faenza
Newport Coast, CA 92657-1601
Phone (415) 307-0441

Other names 1

  • Paydar Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1700405586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FAENZA",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571601",
            "telephone_number": "415-307-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608729",
            "telephone_number": "949-755-0575",
            "fax_number": "949-755-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYIAN PAYDAR, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "PAYDAR",
        "authorized_official_first_name": "KEYIAN",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-307-0441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paydar Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.