West Coast Plastic Surgery Center, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

20A10292 Issued in CA

Legal business name

WEST COAST PLASTIC SURGERY CENTER, INC.

Practice address

2831 N Ventura Rd
Oxnard, CA 93036-2213

Phone

(805) 983-1999

Fax

(805) 485-9490

NPI assigned

Jul 31, 2008

Last updated

Jan 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yuly Gorodisky, D.O.NPI 1619998655

Title

President

Phone

(805) 983-1999

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Yuly Gorodisky, DO

  • Plastic and Reconstructive Surgery Physician
  • Oxnard, CA
  • NPI 1619998655
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1902062854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-1999",
            "fax_number": "805-485-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-1999",
            "fax_number": "805-485-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST PLASTIC SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "GORODISKY",
        "authorized_official_first_name": "YULY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-983-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A10292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AP019",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina M Wells, DNP, PHN, RN
• Marna Wensil
• West Coast Critical Care Specialists, Inc.
• West Coast Hearing & Balance Center
• West Coast Physical Therapy and Sports Medicine
• West Coast Pulmonary Physicians a Professional Medical Corporation
• West Coast Specialty Surgery Center of California LLC
• Raena Day West
• Valkyrie West
• Western Dental Services, Inc.

• Plastic Surgery Physician in Oxnard, CA
• Providers in Oxnard, 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 Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.