North Coast Plastic Surgery, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G89460 Issued in CA

Legal business name

NORTH COAST PLASTIC SURGERY, INC.

Practice address

3998 Vista Way
Suite a
Oceanside, CA 92056-4500

Phone

(760) 655-1414

Fax

(760) 655-1415

NPI assigned

Feb 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gregory C Park, M.D.

Title

Owner

Phone

(760) 655-1414

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423353600000",
    "number": "1801287214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-655-1414",
            "fax_number": "760-655-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-655-1414",
            "fax_number": "760-655-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST PLASTIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-08",
        "last_updated": "2015-02-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-655-1414",
        "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": "G89460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Markie Nord, PA-C
• Rosalva Pauline Noriega
• North Coast Optometry
• North Coast Pathology Medical Group Inc
• North Coast Physical Therapy Inc (North Coast Physical Therapy)
• North Coast Surgery Center LTD
• North Coast Urology Medical Associates Inc (North Coast Urology)
• North County Acupuncture
• North County Cardiothoracic Surgery a Medical Corporation
• North County Cardiovascular Specialists, Apmc

• Plastic Surgery Physician in Oceanside, CA
• Providers in Oceanside, 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 Feb 8, 2015; 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.