Individual provider Active NPI

Christopher Michael Bates, MD

  • Plastic and Reconstructive Surgery Physician
  • Laguna Beach, WA
National Provider Identifier
1730524596
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
BP10047061 Issued in TX
Practice address
31852 Pacific Coast Hwy Suite 401
Laguna Beach, WA 92651
Phone
(949) 499-2800
Fax
(949) 499-9590
NPI assigned
May 7, 2013
Last updated
May 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X BP10047061 TX Primary

Addresses

Primary practice location

31852 Pacific Coast Hwy Suite 401
Laguna Beach, WA 92651

Mailing address

31852 Pacific Coast Hwy Suite 401
Laguna Beach, WA 92651
Phone (949) 499-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200722001561 FL Practitioner - Plastic and Reconstructive Surgery 7113206350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
JC Edwards School of Medicine, Marshall University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ponte Vedra Plastic Surgery, Inc.Group PAC ID 5890786701, 7 clinicians

Practice addresses (Care Compare)

209 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600
Phone (904) 273-6200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ponte Vedra Plastic Surgery, Inc CurrentSince Jul 17, 2020 Accepting new patients
Oceanview Ambulatory Surgery Center LLC PastSince Jul 1, 2019 Accepting new patients

Locations

209 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082
Phone (904) 273-6200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1730524596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31852 PACIFIC COAST HWY SUITE 401",
            "city": "LAGUNA BEACH",
            "state": "WA",
            "postal_code": "92651",
            "telephone_number": "949-499-2800",
            "fax_number": "949-499-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31852 PACIFIC COAST HWY SUITE 401",
            "city": "LAGUNA BEACH",
            "state": "WA",
            "postal_code": "92651",
            "telephone_number": "949-499-2800",
            "fax_number": "949-499-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "BP10047061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.