Organization Active NPI

Napa Solano Plastic Surgery. Inc.

  • Plastic Surgery Physician
  • Napa, CA
National Provider Identifier
1811542319
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
NAPA SOLANO PLASTIC SURGERY. INC.
Practice address
1175 Trancas Street
Napa, CA 94558
Phone
(707) 258-6053
Fax
(707) 253-7255
NPI assigned
Aug 2, 2019
Last updated
Aug 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Authorized official

Name
William J. McClure, M.D.NPI 1366477689
Title
Vice President
Phone
(707) 258-6053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X

Addresses

Primary practice location

1175 Trancas Street
Napa, CA 94558

Mailing address

1175 Trancas Street
Napa, CA 94558
Phone (707) 258-6053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191121002557 CA Part B Supplier - Clinic/Group Practice 4082046560 Receives reassigned benefits from 1 practitioner
Practice locations: Napa, CA

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
05D2019591Napa Solano Plastic Surgery Inc1175 Trancas St, Napa, CA 94558Certificate of waiverFeb 1, 2027

National Provider Directory

National Provider Directory

Locations

1175 Trancas St
Napa, CA 94558
Phone (707) 258-6053

181 Andrieux St
Ste 204
Sonoma, CA 95476
Phone (707) 938-1030

Practitioners & affiliated clinicians

Practitioners 2

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": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564704000000",
    "number": "1811542319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 TRANCAS STREET",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-258-6053",
            "fax_number": "707-253-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 TRANCAS STREET",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-258-6053",
            "fax_number": "707-253-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPA SOLANO PLASTIC SURGERY. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-258-6053",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.