Contemporary Plastic Surgery Medical Group Apc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G36751 Issued in CA

Legal business name

CONTEMPORARY PLASTIC SURGERY MEDICAL GROUP APC

Practice address

913 San Ramon Valley Blvd
288
Danville, CA 94526-4031

Phone

(925) 820-3633

Fax

(925) 820-3655

NPI assigned

Mar 4, 2011

Organization subpart

No

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

Authorized official

Name

Elliott Bruce Lavey, MD

Title

President

Phone

(925) 820-3633

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1299196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1881992550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 SAN RAMON VALLEY BLVD",
            "address_2": "288",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264031",
            "telephone_number": "925-820-3633",
            "fax_number": "925-820-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 SAN RAMON VALLEY BLVD",
            "address_2": "288",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264031",
            "telephone_number": "925-820-3633",
            "fax_number": "925-820-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY PLASTIC SURGERY MEDICAL GROUP APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-04",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "LAVEY",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-820-3633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G36751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Danville, CA
• Providers in Danville, 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 Jun 8, 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.