Organization Active NPI

Pacific Center for Oculofacial and Aesthetic Plastic Surgery PC

  • Ophthalmology Physician
  • San Mateo, CA
National Provider Identifier
1831484526
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G45235 Issued in CA
Legal business name
PACIFIC CENTER FOR OCULOFACIAL AND AESTHETIC PLASTIC SURGERY PC
Practice address
50 S San Mateo Drive
Suite 320
San Mateo, CA 94401-3861
Phone
(650) 340-9763
Fax
(650) 340-9514
NPI assigned
Jun 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Dr. Stuart Ronald Seiff, MDNPI 1114928561
Title
Ceo
Phone
(650) 340-9763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G45235 CA Primary

Addresses

Primary practice location

50 S San Mateo Drive
Suite 320
San Mateo, CA 94401-3861

Mailing address

50 S San Mateo Drive
Suite 320
San Mateo, CA 94401-3861
Phone (650) 340-9763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111013000526 CA Part B Supplier - Clinic/Group Practice 8527230689 Receives reassigned benefits from 4 practitioners
Practice locations: Foster City, CA

National Provider Directory

National Provider Directory

Locations

50 S San Mateo Dr
Ste 320
San Mateo, CA 94401
Phone (650) 340-7200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1831484526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DRIVE",
            "address_2": "SUITE 320",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013861",
            "telephone_number": "650-340-9763",
            "fax_number": "650-340-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DRIVE",
            "address_2": "SUITE 320",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013861",
            "telephone_number": "650-340-9763",
            "fax_number": "650-340-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CENTER FOR OCULOFACIAL AND AESTHETIC PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "SEIFF",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-340-9763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G45235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.