PLASTIC SURGERY SPECIALISTS, INC (NPI# 1184801854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184801854 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY SPECIALISTS, INC |
| Practice Address |
350 Bon Air Rd Suite 300 Greenbrae CA 94904-1752 |
| Practice Telephone | 4159252880 |
| Practice Fax Number | 4159252884 |
| Mailing Telephone | 4159252880 |
| Mailing Fax Number | 4159252884 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2010-04-20 |
| Authorized Official Name | HOLLY PRUETT (ADMINISTRATOR) |
| Authorized Official Telephone | 4159252880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
350 BON AIR RD SUITE 300 |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417143082 | Mark Andrew Michna | Dentist | 350 Bon Air Rd, Suite 100, Greenbrae, CA 94904-1752 | 2007-09-18 |
| 1073904207 | Lauren Brooke Voss | Physician Assistant | 350 Bon Air Rd, Suite 300, Greenbrae, CA 94904-1752 | 2015-02-10 |
| 1659649184 | Michelle G Nielson | Hearing Instrument Specialist | 350 Bon Air Rd, Suite 100, Greenbrae, CA 94904-1752 | 2011-12-12 |
| 1174757405 | Kimberly A Henry Md Inc | Plastic Surgery | 350 Bon Air Rd, #1, Greenbrae, CA 94904-1752 | 2009-05-14 |
| 1740432376 | Cristy Walker Roskelley | Marriage & Family Therapist | 350 Bon Air Rd, Suite 140, Greenbrae, CA 94904-1752 | 2008-10-14 |
| 1184872798 | Clare H Dennis-gregory | Counselor | 350 Bon Air Rd, Suite 240, Greenbrae, CA 94904-1752 | 2008-09-08 |
| 1407011547 | Susan Edelstein | Psychologist | 350 Bon Air Rd, Suite 240, Greenbrae, CA 94904-1752 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718056 | Marin Endoscopy Center, LLC | Clinic/Center | 1100 S Eliseo Dr, Suite 3, Greenbrae, CA 94904-2017 | 2005-08-25 |
| 1215930078 | Marin Health Ventures, LLC | Clinic/Center | 505 Sir Francis Drake Blvd, Greenbrae, CA 94904-2305 | 2005-05-24 |
| 1942585526 | Bon Air Surgery Center, LLC | Clinic/Center | 575 Sir Francis Drake Blvd, Suite #3, Greenbrae, CA 94904-2306 | 2011-10-14 |
| 1770714982 | Northbay Surgery Center | Clinic/Center | 575 Sir Francis Drake Blvd, Suite # 3, Greenbrae, CA 94904-2306 | 2009-08-05 |
| 1518133321 | Greenbrae Surgery Center LLC | Clinic/Center | 575 Sir Francis Drake Blvd, Suite 3, Greenbrae, CA 94904-2307 | 2008-05-01 |
| 1528185543 | Greenbrae Surgery Center | Clinic/Center | 575 Sir Francis Drake Blvd, Suite 3, Greenbrae, CA 94904-2306 | 2007-03-23 |
| 1033294228 | Terry L Hand | Clinic/Center | 900 S Eliseo Dr, Suite 103, Greenbrae, CA 94904-2134 | 2006-10-26 |
| 1144316001 | Greenbrae Surgery Center | Clinic/Center | 575 Sir Francis Drake Blvd, Suite 3, Greenbrae, CA 94904-2306 | 2006-10-05 |
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| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
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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.