Organization Active NPI

Elite Transformations, a Professional Medical Corporation

  • Plastic and Reconstructive Surgery Physician
  • Palo Alto, CA
National Provider Identifier
1710533864
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
ELITE TRANSFORMATIONS, A PROFESSIONAL MEDICAL CORPORATION
Practice address
1795 El Camino Real Ste 200
Palo Alto, CA 94306-1165
Phone
(888) 844-5665
NPI assigned
Aug 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Orna Fisher, MDNPI 1265556344
Title
President
Phone
(702) 362-5960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

1795 El Camino Real Ste 200
Palo Alto, CA 94306-1165

Mailing address

325 Sharon Park Dr # 648
Menlo Park, CA 94025-6805
Phone (702) 362-5960

National Provider Directory

National Provider Directory

Locations

325 Sharon Park Dr
#648
Menlo Park, CA 94025

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1710533864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SHARON PARK DR # 648",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256805",
            "telephone_number": "702-362-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 EL CAMINO REAL STE 200",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061165",
            "telephone_number": "888-844-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE TRANSFORMATIONS, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ORNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-362-5960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.