Gallery of Cosmetic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

20A9343 Issued in CA

Legal business name

GALLERY OF COSMETIC SURGERY

Practice address

400 Newport Center Dr
Suite 100
Newport Beach, CA 92660-7601

Phone

(949) 706-7776

Fax

(949) 644-2518

NPI assigned

Dec 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kevin SadatiNPI 1053490003

Title

President

Phone

(760) 946-5177

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kevin Sohi Sadati, DO

  • Facial Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1053490003
  NPD (past) Authorized official

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1851620306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27462 PASEO BOVEDA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-706-7776",
            "fax_number": "949-644-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERY OF COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "SADATI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-946-5177",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A9343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Eunice Galan I
• Amanda Gale-Bando, PH.D.
• Galea Center, LLC.
• Ashley Esmeralda Galeana
• Anjalee Warrier Galion, M.D.
• Fernanda Gallo Moreno
• Kai Galloway
• Fred J Galluccio, M.D.
• Zaely Brianda Galvan
• Yuliana Gamez

• Plastic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, 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 Dec 11, 2009; 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.