Individual provider Active NPI

Joshua Korman, MD

  • Plastic Surgery Physician
  • Mountain View, CA
National Provider Identifier
1780723429
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G59189 Issued in CA
Practice address
2500 Hospital Dr
Building 9
Mountain View, CA 94040-4106
Phone
(650) 254-1200
Fax
(650) 254-1226
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G59189 CA Primary

Addresses

Primary practice location

2500 Hospital Dr
Building 9
Mountain View, CA 94040-4106

Mailing address

2500 Hospital Dr
Building 9
Mountain View, CA 94040-4106
Phone (650) 254-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040610001808 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 5890778781

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59189CAMDGeneral Practice Dentistry
G59189CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Drive Surgery Center, LLC CurrentSince Sep 1, 2009 Accepting new patients
Stanford Health Care Past Accepting new patients

Locations

11999 San Vicente Blvd
Ste 440
Los Angeles, CA 90049

2500 Hospital Dr
Ste 9B
Mountain View, CA 94040
Phone (650) 254-0888

2500 Hospital Dr
Bldg 9
Mountain View, CA 94040
Phone (650) 254-1200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780723429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "address_2": "BUILDING 9",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-254-1200",
            "fax_number": "650-254-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DR",
            "address_2": "BUILDING 9",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-254-1200",
            "fax_number": "650-254-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAN",
        "first_name": "JOSHUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G59189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.