Tantawi Plastics Cosmetic Vascular Surgery

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A126218 Issued in CA

Legal business name

TANTAWI PLASTICS COSMETIC VASCULAR SURGERY

Doing business as

Tantawi Plastic Surgery

Practice address

1717 E Vista Chino # A7-427
Palm Springs, CA 92262-3559

Phone

(646) 232-8298

NPI assigned

Dec 16, 2014

Organization subpart

No

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

Authorized official

Name

Diya Tantawi, M.D.

Title

Ceo

Phone

(646) 232-8298

Specialties & licenses 7

Addresses

Other names 1

• Tantawi Plastic Surgery Doing business as

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1891193348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6935 SPRING VALLEY LN",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156322644",
            "telephone_number": "646-232-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E VISTA CHINO # A7-427",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922623559",
            "telephone_number": "646-232-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANTAWI PLASTICS COSMETIC VASCULAR SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "TANTAWI",
        "authorized_official_first_name": "DIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-232-8298",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A126218",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "A126218",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A126218",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A126218",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A126218",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A126218",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A126218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tantawi Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirley Lesley Tamayo-Contreras
• Ellie Rickards Tan, MD
• Rowena Rose Tanare
• James Yc Tang, M.D
• Ziad Tannous, MD
• Cody Jay Tapp, PA-C
• Muhammad Asif Taqi, M.D.
• Alyssa M Tate
• Erik Tatos I, MD
• Kenny Tavoc, PHARMD

• Plastic and Reconstructive Surgery Physician in Palm Springs, CA
• Providers in Palm Springs, 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 Dec 16, 2014; 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.