Head& Neck Medical & Facial Plastic Surgery, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A25477 Issued in CA

Legal business name

HEAD& NECK MEDICAL & FACIAL PLASTIC SURGERY, INC

Practice address

361 Hospital Road
Suite 329
Newport Beach, CA 92663-3524

Phone

(949) 650-8882

Fax

(949) 650-2293

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Kamal A. Batniji, M.D.NPI 1699823021

Title

Owner

Phone

(949) 650-8882

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Kamal A Batniji, M.D.

  • Otolaryngology Physician
  • Newport Beach, CA
  • NPI 1699823021
  Medicare reassignment NPD Authorized official
• Rami K Batniji, M.D.

  • Facial Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1467534644
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1982828554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD",
            "address_2": "SUITE 329",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633522",
            "telephone_number": "949-650-8882",
            "fax_number": "949-650-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL ROAD",
            "address_2": "SUITE 329",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633524",
            "telephone_number": "949-650-8882",
            "fax_number": "949-650-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD& NECK MEDICAL & FACIAL PLASTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "BATNIJI",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-650-8882",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A25477",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A89307",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A254770",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A254771",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Healing Hands Physical Therapy
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• Specialist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.