Organization Active NPI

The Isse Institute of Cosmetic Surgery, Inc.

  • Plastic Surgery Physician
  • Burbank, CA
National Provider Identifier
1841476041
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A34958 Issued in CA
Legal business name
THE ISSE INSTITUTE OF COSMETIC SURGERY, INC.
Practice address
201 S Buena Vista St
Suite 250
Burbank, CA 91505-4569
Phone
(818) 557-6595
Fax
(818) 557-6598
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Nicanor G. Isse, M.D.NPI 1487752929
Title
Medical Director/the Isse Institute
Phone
(818) 557-6595

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A34958 CA Primary

Addresses

Primary practice location

201 S Buena Vista St
Suite 250
Burbank, CA 91505-4569

Mailing address

201 S Buena Vista St
Suite 250
Burbank, CA 91505-4569
Phone (818) 557-6595

Other identifiers 1

IdentifierTypeStateIssuer
1487752929OtherCANPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1841476041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "SUITE 250",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-557-6595",
            "fax_number": "818-557-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "SUITE 250",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-557-6595",
            "fax_number": "818-557-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ISSE INSTITUTE OF COSMETIC SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ISSE",
        "authorized_official_first_name": "NICANOR",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/THE ISSE INSTITUTE",
        "authorized_official_telephone_number": "818-557-6595",
        "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": "A34958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487752929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.