The Plastics Doc, a Professional Corporation

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

THE PLASTICS DOC, A PROFESSIONAL CORPORATION

Practice address

4226 Green River Rd Ste 101
Corona, CA 92878-3829

Phone

(951) 268-9616

Fax

(951) 268-7756

NPI assigned

Mar 28, 2023

Organization subpart

No

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

Authorized official

Name

Samuel Enrique Salcedo, MDNPI 1447518733

Title

Owner

Phone

(951) 268-6168

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Samuel Enrique Salcedo, M.D.

  • Plastic Surgery Physician
  • Corona, CA
  • NPI 1447518733
  NPD Authorized official

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1871297531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 GREEN RIVER RD STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783829",
            "telephone_number": "951-268-9616",
            "fax_number": "951-268-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4226 GREEN RIVER RD STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783829",
            "telephone_number": "951-268-9616",
            "fax_number": "951-268-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTICS DOC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-268-6168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Corona, CA
• Providers in Corona, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.