Organization Active NPI

Sky Facial Plastic Surgery, Inc

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Diego, CA
National Provider Identifier
1801138946
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
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

Updated by the provider on Feb 26, 2015

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)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2127760Sky Facial Plastic Surgery16918 Dove Canyon Rd Ste 208, San Diego, CA 92127Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.