Vila Facial Plastic Surgery

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

VILA FACIAL PLASTIC SURGERY

Practice address

899 Northgate Dr Ste 110
San Rafael, CA 94903-3664

Phone

(415) 684-8452

NPI assigned

Sep 24, 2020

Last updated

Mar 2, 2021By 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. Peter Michael Vila, MD, MSPHNPI 1437413945

Title

Founder and Surgeon

Phone

(415) 684-8452

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.

• Peter Michael Vila, MD, MSPH

  • Otolaryngology Physician
  • San Rafael, CA
  • NPI 1437413945
  Authorized official Same address or phone

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1720695729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 110",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033664",
            "telephone_number": "415-684-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE DR STE 110",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033664",
            "telephone_number": "415-684-8452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "752 Broadway",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954767011",
            "country_code": "US",
            "telephone_number": "925-558-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VILA FACIAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "VILA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDER AND SURGEON",
        "authorized_official_telephone_number": "415-684-8452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MSPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Vertinski, PH.D.
• Victoria Moore Chiropractic Inc.
• Lucia Vieira
• Christina Vigil, R.D.
• Korina Vigil
• Peter Michael Vila, MD, MSPH
• Villa Marin Homeowners Association
• Village Health Services, LLC
• Dennis Villalobos Sabino
• Jose Gabriel Villanueva Padilla

• Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.