Facesplus Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

FACESPLUS INC

Practice address

4510 Executive Dr Ste 200
San Diego, CA 92121-3023

Phone

(858) 842-2370

Fax

(858) 842-2375

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Steven R Cohen, MD

Title

Owner

Phone

(858) 842-2370

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Kristen Goodacre, PA-C

  • Medical Physician Assistant
  • San Diego, CA
  • NPI 1477806727
  NPD
• Kevin Wayne Broder, MD

  • Plastic Surgery Physician
  • San Diego, CA
  • NPI 1205885902
  NPD (past)
• Rodney D Henderson, M.D.

  • Orthopaedic Surgery Physician
  • Yuma, AZ
  • NPI 1225035488
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1700913902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213023",
            "telephone_number": "858-842-2370",
            "fax_number": "858-842-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213023",
            "telephone_number": "858-842-2370",
            "fax_number": "858-842-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACESPLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-842-2370",
        "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": []
}

• Samantha Diane Fabrizio, MD
• Wyatt Fabrizio, PHARMD
• Philip Fabunan, IDC
• Kyle Facciani
• Jennifer Faccio, PHARMD
• Nathan Fackler, MD
• Laurel Factor, P.A.-C.
• Phillip Howard Factor, D.O.
• Leiya S Factoran
• Raj Praful Fadadu, MD, MS

• Plastic Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.

Verify at the official NPI Registry.