PV Peninsula Plastic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G79401 Issued in CA

Legal business name

PV PENINSULA PLASTIC SURGERY CENTER

Practice address

3400 Lomita Blvd
Suite #306
Torrance, CA 90505-4909

Phone

(310) 326-3636

Fax

(310) 326-6448

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Frank Rosso, M.D.NPI 1215023411

Title

Medical Di Rector

Phone

(310) 326-3636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

PV Peninsula Plastic Surgery CenterCCN 05C0001800

Medicare certification status

ActiveFrom the Provider of Services file

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 1

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

• Ronald Frank Rosso, M.D.

  • Specialist
  • Torrance, CA
  • NPI 1215023411
  NPD Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740491422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD",
            "address_2": "SUITE #306",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054909",
            "telephone_number": "310-326-3636",
            "fax_number": "310-326-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD",
            "address_2": "SUITE #306",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054909",
            "telephone_number": "310-326-3636",
            "fax_number": "310-326-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PV PENINSULA PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSSO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "MEDICAL   DI RECTOR",
        "authorized_official_telephone_number": "310-326-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G79401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brant A Putnam, M.D.
• Kathryn C. Putnam, M.D.
• Ruth Putnam
• Jyoti Puvvula, M.D.
• PV Acupuncture & Healing Center
• Larry Pye
• Judith D Pyke, OTR/L
• Grace Pyo
• Mateen Bader Qadri, MD
• Yasmin Qaseem, M.D.

• Ambulatory Surgical Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.