Organization Active NPI

Chernoff and Associates Cosmetic Surgeons

  • Ambulatory Surgical Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1922197987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A51787 Issued in CA
Legal business name
CHERNOFF AND ASSOCIATES COSMETIC SURGEONS
Practice address
830 2ND St
Santa Rosa, CA 95404-4620
Phone
(707) 544-3232
Fax
(707) 544-5619
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Gregory Chernoff, MD
Title
Owner
Phone
(707) 544-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A51787 CA Primary

Addresses

Primary practice location

830 2ND St
Santa Rosa, CA 95404-4620

Mailing address

830 2ND St
Santa Rosa, CA 95404-4620
Phone (707) 544-3232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922197987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 2ND ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044620",
            "telephone_number": "707-544-3232",
            "fax_number": "707-544-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 2ND ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044620",
            "telephone_number": "707-544-3232",
            "fax_number": "707-544-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERNOFF AND ASSOCIATES COSMETIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERNOFF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-544-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A51787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.