Plastikkirurgi, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PLASTIKKIRURGI, INC.

Practice address

2001 Santa Monica Blvd Ste 1180W
Santa Monica, CA 90404-2215

Phone

(310) 829-5550

Fax

(310) 829-5502

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Sheryl Santos

Title

Delegated Official

Phone

(310) 592-0266

Specialties & licenses 1

Addresses

Other names 1

• Charlotta La Via, M.D. Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Santa Monica Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Santa Monica, CA
  • NPI 1053556670

  O20190312003010

  Same enrollment

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Santa Monica Outpatient Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Santa Monica, CA
  • NPI 1053556670
  NPPES parent name

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1730749748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 1180W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042215",
            "telephone_number": "310-592-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 1180W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042215",
            "telephone_number": "310-829-5550",
            "fax_number": "310-829-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIKKIRURGI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "310-592-0266"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotta La Via, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rebecca Marie Pitts
• PL Wiz Psychology Inc
• Roxana Plancarte
• Planned Parenthood Los Angeles - Santa Monica Center
• Plantology
• Platinum Anesthesia Network Inc
• Hal Platts
• Monica Louise Plesa, M.D.
• Derek Anthony Plonka, DPT, MTOM
• Hannah Lynn Plotke

• Plastic Surgery Physician in Santa Monica, CA
• Providers in Santa Monica, 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 Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.