ADVANCED AESTHETIC AND PLASTIC SURGERY MEDICAL CENTER (NPI# 1285056275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285056275 |
| Entity Type | Organization |
| Organization Name | ADVANCED AESTHETIC AND PLASTIC SURGERY MEDICAL CENTER |
| Practice Address |
555 Knowles Dr Los Gatos CA 95032-1549 |
| Mailing Address |
Po Box 320074 Los Gatos CA 95032-0101 |
| Practice Telephone | 4088665433 |
| Practice Fax Number | 4088710902 |
| Mailing Telephone | 4088665433 |
| Mailing Fax Number | 4088710902 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | HOWARD SUTKIN (PRESIDENT) |
| Authorized Official Telephone | 4088665433 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
555 KNOWLES DR |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95032-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884863 | Gary Steven Scheinin | Podiatrist | 555 Knowles Dr, Suite #220, Los Gatos, CA 95032-1549 | 2005-07-12 |
| 1144667429 | Coshire Medical Group Inc | Specialist | 555 Knowles Dr, Ste 203, Los Gatos, CA 95032-1549 | 2013-05-28 |
| 1417222985 | Iqbal M Mirza Md Professional Corporation | Anesthesiology | 555 Knowles Dr, 115, Los Gatos, CA 95032-1549 | 2012-03-17 |
| 1811295462 | Gary S Scheinin Dpm A Professional Corporation | Podiatrist | 555 Knowles Dr, Suite 220, Los Gatos, CA 95032-1549 | 2011-03-07 |
| 1578860060 | For Women By Women A Medical Group A Professional Corporation | Obstetrics & Gynecology | 555 Knowles Dr, Suite 218, Los Gatos, CA 95032-1549 | 2011-02-17 |
| 1215238076 | Knowles Surgery Center LLC | Clinic/Center | 555 Knowles Dr, Suite 115, Los Gatos, CA 95032-1549 | 2010-11-10 |
| 1295049658 | Yen-linh Thi Vu | Optometrist | 555 Knowles Dr, Ste 117, Los Gatos, CA 95032-1542 | 2010-07-27 |
| 1992017784 | Harrup Kaur, Md, Inc. | Ophthalmology | 555 Knowles Dr, Suite 117, Los Gatos, CA 95032-1549 | 2010-07-08 |
| 1750613428 | John S Rollins, Md Medical Corporation | Orthopaedic Surgery | 555 Knowles Dr, Ste 200, Los Gatos, CA 95032-1549 | 2010-02-05 |
| 1457594087 | El Camino Hospital | General Acute Care Hospital | 555 Knowles Dr, Suite #100, Los Gatos, CA 95032-1549 | 2009-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346730157 | Stephanie Chui | Optometrist | 15055 Los Gatos Blvd Ste 300, Los Gatos, CA 95032 | 2018-05-16 |
| 1710474960 | Lisa Richardson | Dietitian, Registered | 15405 Los Gatos Blvd #101, Los Gatos, CA 95032 | 2018-04-13 |
| 1235652934 | Nillofar Tabibi | Pharmacist | 1496 Pollard Road, Los Gatos, CA 95032 | 2017-07-25 |
| 1609397694 | Taylor Dolores Peterson | Marriage & Family Therapist | 15495 Los Gatos Blvd Ste 5, Los Gatos, CA 95032 | 2017-06-29 |
| 1942755418 | Michelle Sunalp | Physician Assistant | 14830 Los Gatos Blvd, Suite 300, Los Gatos, CA 95032 | 2016-08-24 |
| 1295196640 | Mandice Williams | Chiropractor | 236 Oak Meadow Dr, Los Gatos, CA 95032 | 2016-03-14 |
| 1922465020 | Los Gatos Dental Specialists | Dentist | 15075 Los Gatos Blvd, Ste 120, Los Gatos, CA 95032 | 2016-01-20 |
| 1962881813 | Los Gatos Snf, LLC | Skilled Nursing Facility | 16605 Lark Ave., Los Gatos, CA 95032 | 2015-05-26 |
| 1720404312 | Jonathan Davies | Physician Assistant | 15466 Los Gatos Blvd Ste 109-353, Los Gatos, CA 95032 | 2014-03-06 |
| 1588002612 | Jessica Velasco Gutierrez | Licensed Vocational Nurse | 634 W Parr Ave #116, Los Gatos, CA 95032 | 2013-06-11 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265758296 | Liu Plastic Surgery, A Professional Corporation | Plastic Surgery | 15055 Los Gatos Blvd Ste 250, Los Gatos, CA 95032-2025 | 2010-04-15 |
| 1215194808 | Jerome H Liu | Plastic Surgery | 15055 Los Gatos Blvd, Suite 250, Los Gatos, CA 95032-2083 | 2008-05-21 |
| 1831217629 | Gaeton T. Nola, M.d., A Medical Corp. | Plastic Surgery | 15047 Los Gatos Blvd, Ste. 150, Los Gatos, CA 95032-2054 | 2007-03-27 |
| 1629146147 | Gaeton Thomas Nola | Plastic Surgery | 15047 Los Gatos Blvd, Ste. 150, Los Gatos, CA 95032-2054 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
| 1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
| 1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
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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.