Organization Active NPI

Gehaan Plastic Surgery Inc

  • Plastic Surgery Physician
  • Carlsbad, CA
National Provider Identifier
1922547074
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A111406 Issued in CA
Legal business name
GEHAAN PLASTIC SURGERY INC
Practice address
3144 El Camino Real
Carlsbad, CA 92008-2194
Phone
(714) 595-6589
NPI assigned
Feb 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Dr. Gehaan Dsouza, MD
Title
Ceo
Phone
(714) 595-6589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A111406 CA Primary

Addresses

Primary practice location

3144 El Camino Real
Carlsbad, CA 92008-2194

Mailing address

455 S Laureltree Dr
Anaheim, CA 92808-1648
Phone (714) 595-6589

Other names 1

  • Iconic Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

3144 El Camino Real
Ste 200
Carlsbad, CA 92008
Phone (619) 661-6326

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1922547074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S LAURELTREE DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081648",
            "telephone_number": "714-595-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 EL CAMINO REAL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082194",
            "telephone_number": "714-595-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEHAAN PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "DSOUZA",
        "authorized_official_first_name": "GEHAAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-595-6589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A111406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iconic Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.