Individual provider Active NPI

Jonathan L Kaplan, MD

  • Plastic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1700824828
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C55493 Issued in CA
Practice address
2100 Webster St
Suite 429
San Francisco, CA 94115-2373
Phone
(415) 923-3005
Fax
(415) 771-6561
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 024942 LA
Plastic and Reconstructive Surgery Physician 2086S0122X 024942 LA
Plastic Surgery Physician 208200000X 024942 LA
Plastic Surgery Physician 208200000X C55493 CA Primary

Addresses

Primary practice location

2100 Webster St
Suite 429
San Francisco, CA 94115-2373

Mailing address

2100 Webster St
Suite 429
San Francisco, CA 94115-2373
Phone (415) 923-3005

Other identifiers 3

IdentifierTypeStateIssuer
00688011MedicaidMS
4E680CP42OtherCAMEDICARE
1421219MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C55493CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C & M Medical Services, Inc. Past Accepting new patients
Our Lady of the Lake Plastic Clinic Plastic Surgery Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1700824828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 429",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-3005",
            "fax_number": "415-771-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 429",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-3005",
            "fax_number": "415-771-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "JONATHAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "024942",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "024942",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "024942",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C55493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00688011",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4E680CP42",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1421219",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.