Plastic Surgery Specialist Medical Group Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G34340 Issued in CA

Legal business name

PLASTIC SURGERY SPECIALIST MEDICAL GROUP INC

Practice address

1860 El Camino Real
Suite 438
Burlingame, CA 94010-3127

Phone

(650) 652-5901

Fax

(650) 652-5904

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael S. Norris, M.D.

Title

President

Phone

(650) 652-5901

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1962755348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL",
            "address_2": "SUITE 438",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103127",
            "telephone_number": "650-652-5901",
            "fax_number": "650-652-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL",
            "address_2": "SUITE 438",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103127",
            "telephone_number": "650-652-5901",
            "fax_number": "650-652-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY SPECIALIST MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-652-5901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G34340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G343400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie A Pigliucci, PSYD
• Alanna Pinell
• Gabriel William Pizon
• Ellis Pizzi, D.P.M.
• Mark David Plante, MFT
• Heidi Platt, CAADE-I 4014-R
• Sabrina Plumlee, LPC
• PMC Pharmacy
• Rachel Polati
• Austin Koichi Poli

• Plastic Surgery Physician in Burlingame, CA
• Providers in Burlingame, 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 Mar 28, 2013; 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.