Organization Active NPI

Bray Plastic Surgery Medical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Irvine, CA
National Provider Identifier
1801044078
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
FNP35839 Issued in CA
Legal business name
BRAY PLASTIC SURGERY MEDICAL CENTER INC
Practice address
5 Holland Ste 101
Irvine, CA 92618-2568
Phone
(949) 588-2199
Fax
(949) 588-2199
NPI assigned
Aug 29, 2008
Last updated
Aug 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
David Fray, MD
Title
Director
Phone
(310) 534-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X FNP35839 CA Primary

Addresses

Primary practice location

5 Holland Ste 101
Irvine, CA 92618-2568

Mailing address

23560 Madison St Ste 102
Torrance, CA 90505-4709
Phone (310) 534-8300

Other identifiers 1

IdentifierTypeStateIssuer
FNP35839OtherCASTATE OF CALIFORNIA LICENSE

National Provider Directory

National Provider Directory

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": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1801044078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23560 MADISON ST STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054709",
            "telephone_number": "310-534-8300",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HOLLAND STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2199",
            "fax_number": "949-588-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAY PLASTIC SURGERY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "FRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-534-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "FNP35839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA LICENSE",
            "identifier": "FNP35839",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.