Elite Plastic Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ELITE PLASTIC SURGERY

Practice address

12732 W Washington Blvd Ste B
Los Angeles, CA 90066-2378

Phone

(310) 275-4170

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Keeneth B Hughes, MD

Title

Medical Director

Phone

(310) 275-4170

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Kenneth Hughes, M.D.

  • Plastic Surgery Physician
  • Los Angeles, CA
  • NPI 1801926761
  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1760924005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12732 W WASHINGTON BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662378",
            "telephone_number": "310-275-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12732 W WASHINGTON BLVD STE B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662378",
            "telephone_number": "310-275-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KEENETH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-275-4170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Oncology Medical Group
• Elite Oncology Medical Group, Inc.
• Elite Orthosport Performance Physical Therapy
• Elite Orthosport Physical Therapy
• Elite Pharmacy Inc
• Elite Provider Urgent Care Network PC
• Elite Psychological Services, Inc.
• Elite Psychology Group
• Elite Surgery Center of Beverly Hills
• Elizabeth a. Reyes, PH.D.

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, 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 Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.