NPIMap

Organization Active NPI

Agheg. M. Yenikomshian, M.D. a Professional Corporation

Doing business as Center for Plastic and Cosmetic Surgery

  • Specialist
  • San Jose, CA
National Provider Identifier
1861671232
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C37996 Issued in CA
Legal business name
AGHEG. M. YENIKOMSHIAN, M.D. A PROFESSIONAL CORPORATION
Doing business as
Center for Plastic and Cosmetic Surgery
Practice address
2585 Samaritan Dr
Suite 302
San Jose, CA 95124-4107
Phone
(408) 356-7788
Fax
(408) 356-4869
NPI assigned
Nov 1, 2007
Last updated
Mar 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Dr. Agheg Mihran Yenikomshian, M.D.NPI 1639230436
Title
Owner
Phone
(408) 356-7788

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C37996 CA Primary

Addresses

Primary practice location

2585 Samaritan Dr
Suite 302
San Jose, CA 95124-4107

Mailing address

2585 Samaritan Dr
Suite 302
San Jose, CA 95124-4107
Phone (408) 356-7788

Other names 1

  • CENTER FOR PLASTIC AND COSMETIC SURGERY Doing business as

National Provider Directory

National Provider Directory

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1861671232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 SAMARITAN DR",
            "address_2": "SUITE 302",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244107",
            "telephone_number": "408-356-7788",
            "fax_number": "408-356-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SAMARITAN DR",
            "address_2": "SUITE 302",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244107",
            "telephone_number": "408-356-7788",
            "fax_number": "408-356-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGHEG. M. YENIKOMSHIAN, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "YENIKOMSHIAN",
        "authorized_official_first_name": "AGHEG",
        "authorized_official_middle_name": "MIHRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-356-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C37996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR PLASTIC AND COSMETIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.