Active NPI
Sky Facial Plastic Surgery, Inc
- Otolaryngology/Facial Plastic Surgery Physician
- San Diego, CA
National Provider Identifier
1801138946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- Legal business name
- SKY FACIAL PLASTIC SURGERY, INC
- Practice address
- 16918 Dove Canyon Rd
Suite 208
San Diego, CA 92127-3445 - Phone
- (858) 381-4801
- NPI assigned
- Mar 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sirius K Yoo, M.D.
- Title
- President/Ceo
- Phone
- (858) 381-4801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Primary |
Addresses
Primary practice location
16918 Dove Canyon Rd
Suite 208
San Diego, CA 92127-3445
Mailing address
16918 Dove Canyon Rd
Suite 208
San Diego, CA 92127-3445
Phone (858) 381-4801
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2127760 | Sky Facial Plastic Surgery | Certificate of waiver | Mar 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
16918 Dove Canyon Rd
Ste 208
San Diego, CA 92127
Phone (858) 381-4801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424908800000",
"number": "1801138946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16918 DOVE CANYON RD",
"address_2": "SUITE 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921273445",
"telephone_number": "858-381-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16918 DOVE CANYON RD",
"address_2": "SUITE 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921273445",
"telephone_number": "858-381-4801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKY FACIAL PLASTIC SURGERY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-26",
"last_updated": "2015-02-26",
"status": "A",
"authorized_official_last_name": "YOO",
"authorized_official_first_name": "SIRIUS",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "858-381-4801",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.