RICHARD GANGNES (NPI# 1003834318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003834318 |
| Entity Type | Individual |
| Full Name | RICHARD GANGNES |
| Credential | MD |
| Practice Address |
665 Camino De Los Mares Ste 100 San Clemente CA 92673-2840 |
| Practice Telephone | 9492764141 |
| Mailing Telephone | 9492764141 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
G30030 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G300300 | 01 |
| Street Address |
665 CAMINO DE LOS MARES STE 100 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568495562 | Richard A. Gangnes M.d. Inc. | Plastic Surgery | 665 Camino De Los Mares Ste 100, San Clemente, CA 92673-2840 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568495562 | Richard A. Gangnes M.d. Inc. | Plastic Surgery | 665 Camino De Los Mares Ste 100, San Clemente, CA 92673-2840 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860079 | Scanning Trend, Inc | Plastic Surgery | 3111 Los Feliz Blvd Ste 103, Los Angeles, CA 90039-1599 | 2020-04-22 |
| 1811542319 | Napa Solano Plastic Surgery. Inc. | Plastic Surgery | 1175 Trancas Street, Napa, CA 94558 | 2019-08-02 |
| 1548799927 | Affinity Surgery Center, Inc | Plastic Surgery | 16311 Ventura Blvd Ste #555, Encino, CA 91436-4314 | 2017-06-08 |
| 1144774613 | Joseph Lochinvar Dinglasan Sr Md Sr. | Plastic Surgery | 709 Bowcreek Dr, Diamond Bar, CA 91765-1885 | 2016-08-12 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1134588775 | Beverly Hills of Westlake Plastic Surgery, Inc. | Plastic Surgery | 115 Jensen Ct # 200, Thousand Oaks, CA 91360-7406 | 2016-02-10 |
| 1144547183 | Melanie Malone | Plastic Surgery | 4150 Regents Park Row Ste 280, La Jolla, CA 92037-1417 | 2010-04-30 |
| 1407924137 | Robert F. Nemeroff, M.d., Inc. | Plastic Surgery | 1509 Manning Ave, Los Angeles, CA 90024-5813 | 2006-12-01 |
| 1124074059 | Blue Pacific Aesthetic Medical Group | Plastic Surgery | 415 Pier Ave, Hermosa Beach, CA 90254-3820 | 2006-05-25 |
| 1366400830 | Vincent C Hung | Plastic Surgery | 452 North Altadena Dr., Pasadena, CA 91107 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.