D. Gareth Wootton, M.D., Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G10008 Issued in CA

Legal business name

D. GARETH WOOTTON, M.D., INC.

Practice address

1301 20TH St Ste 470
Santa Monica, CA 90404-2090

Phone

(310) 315-0222

Fax

(310) 828-8852

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. D. Gareth Wootton, M.D.

Title

President

Phone

(310) 315-0222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1790855336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 470",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042090",
            "telephone_number": "310-315-0222",
            "fax_number": "310-828-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 470",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042090",
            "telephone_number": "310-315-0222",
            "fax_number": "310-828-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. GARETH WOOTTON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "WOOTTON",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "GARETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-315-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G10008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 25, 2008; 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.