SF Bay Area Plastic Surgery Medical Group

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

SF BAY AREA PLASTIC SURGERY MEDICAL GROUP

Practice address

515 South Dr Ste 25
Mountain View, CA 94040-4209

Phone

(650) 964-2200

Fax

(650) 964-2205

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Shahin Fazilat, MDNPI 1649358599

Title

Owner

Phone

(650) 964-2200

Specialties & licenses 1

Addresses

Other names 1

• SF Bay Area Plastic Surgery Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahin Fazilat, M.D.

  • Plastic Surgery Physician
  • Mountain View, CA
  • NPI 1649358599
  NPD Authorized official

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1922864743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SOUTH DR STE 25",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404209",
            "telephone_number": "650-964-2200",
            "fax_number": "650-964-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SOUTH DR STE 25",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404209",
            "telephone_number": "650-964-2200",
            "fax_number": "650-964-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SF BAY AREA PLASTIC SURGERY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "FAZILAT",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-964-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SF Bay Area Plastic Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard Seto
• Jenna Miko Seufert, M.D.
• Cassie Sewald
• Joshua Patrick Seymour, RN
• SF Bay Area Plastic Surgery
• Dylan Shackelford
• Tamara Meyer Shaffer, LPC
• Allen Shah, M.D
• Chika Matsumoto Shah, MD
• Ekta Ankur Shah, DDS

• Plastic Surgery Physician in Mountain View, CA
• Providers in Mountain View, 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 Feb 28, 2024; 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.