Deschamps-Braly Foundation for Pediatric Craniofacial Maladies

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A121399 Issued in CA

Legal business name

DESCHAMPS-BRALY FOUNDATION FOR PEDIATRIC CRANIOFACIAL MALADIES

Practice address

450 Sutter St. #1520
San Francisco, CA 94108

Phone

(415) 624-3922

Fax

(415) 276-9382

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Jordan Deschamps-Braly, MD

Title

Owner

Phone

(415) 524-3922

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1902218837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST. #1520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94107",
            "telephone_number": "415-624-3922",
            "fax_number": "415-276-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST. #1520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94108",
            "telephone_number": "415-624-3922",
            "fax_number": "415-276-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESCHAMPS-BRALY FOUNDATION FOR PEDIATRIC CRANIOFACIAL MALADIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "DESCHAMPS-BRALY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-524-3922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A121399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaanik Binoy Desai, M.D.
• Laura Desantis, M.PHIL.ED.
• Lauren Desantis, MS, CCC-SLP
• Daysha Desaulnier
• Deschamps-Braly Clinic of Plastic and Craniofacial Surgery
• Jordan C Deschamps-Braly, MD, FACS
• Denise Deshetler, CMT, MMASI
• Simone Deshields
• Rahul Deshmane
• Aarti Deshpande, CPO

• Plastic and Reconstructive Surgery Physician in San Francisco, CA
• Providers in San Francisco, 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 Jul 17, 2015; 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.