Organization Active NPI

Luis H. Macias MD Inc

  • Plastic Surgery Physician
  • Marina del Rey, CA
National Provider Identifier
1740783026
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
LUIS H. MACIAS MD INC
Practice address
13924 Marquesas Way Apt 1524
Marina del Rey, CA 90292-6018
Phone
(310) 574-2103
Fax
(310) 640-6069
NPI assigned
Mar 13, 2018
Last updated
Mar 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Hans G Milian
Title
Treasurer
Phone
(858) 480-6772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X CA Primary

Addresses

Primary practice location

13924 Marquesas Way Apt 1524
Marina del Rey, CA 90292-6018

Mailing address

8605 Santa Monica Blvd # 91818
Los Angeles, CA 90069-4109
Phone (310) 574-2103

Other identifiers 1

IdentifierTypeStateIssuer
1518170950OtherNPI

National Provider Directory

National Provider Directory

Locations

8605 Santa Monica Blvd
#91818
West Hollywood, CA 90069

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1740783026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 91818",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900694109",
            "telephone_number": "310-574-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13924 MARQUESAS WAY APT 1524",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926018",
            "telephone_number": "310-574-2103",
            "fax_number": "310-640-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS H. MACIAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "MILIAN",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "858-480-6772"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518170950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.