REGENTS OF THE UNIVERSITY OF CALIFORNIA (NPI# 1417119231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417119231 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Other Organization Name | AESTHETIC & PLASTIC SURGERY INSTITUTE |
| Practice Address |
200 S Manchester Ave Ste 650 Orange CA 92868-3224 |
| Mailing Address |
Po Box 515072 Los Angeles CA 90051-5072 |
| Practice Telephone | 7144566655 |
| Practice Fax Number | 7144562280 |
| Mailing Telephone | 7144566655 |
| Mailing Fax Number | 7144562280 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DR. GREGORY EVANS (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 7144566655 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G57437 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AESTHETIC & PLASTIC SURGERY INSTITUTE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521891 | Regents of The University of California | Orthopaedic Surgery | 10250 Santa Monica Blvd Ste 2450, Los Angeles, CA 90067-6593 | 2020-02-27 |
| 1013560960 | Regents of The University of California | Occupational Therapist | 4000 Civic Center Dr Ste 206, San Rafael, CA 94903-5233 | 2019-07-19 |
| 1851851372 | Regents of The University of California | Orthopaedic Surgery | 3605 Alamo St Ste 200, Simi Valley, CA 93063-2186 | 2019-03-21 |
| 1235642950 | Regents of The University of California | Clinic/Center | 2521 Stockton Blvd Ste 2200, Sacramento, CA 95817-2207 | 2017-11-16 |
| 1376052274 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 3500 Lomita Bvld, Suite 300, Torrance, CA 90505 | 2017-09-22 |
| 1871989269 | Regents of The University of California | Clinic/Center | 4323 Riverside Dr, Burbank, CA 91505-4044 | 2015-04-13 |
| 1750723540 | Regents of The University of California | Podiatrist | 100 Ucla Medical Plaza Ste 460, Los Angeles, CA 90095-6970 | 2013-07-23 |
| 1427396779 | Regents of The University of California | Pharmacy | 4501 X St Rm 1008, Sacramento, CA 95817-2229 | 2013-01-22 |
| 1336487685 | Regents of The University of California | Pharmacy | 4860 Y St Rm 1200, Sacramento, CA 95817-2307 | 2013-01-22 |
| 1174758650 | Regents of The University of California | Clinical Medical Laboratory | 101 The City Dr S Bldg 23, Orange, CA 92868-3201 | 2009-05-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | REGENTS OF THE UNIVERSITY OF CALIFORNIA | 1111 Franklin St, Flr 10, Oakland, CA 94607 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA AT RIVERSIDE | 200 Universty Office Bldg, Riverside, CA 92521-0001 |
| System for Award Management (SAM) Entities | REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE | 1855 Folsom St Ste 425, San Francisco, CA 94143-4249 |
| Street Address |
200 S MANCHESTER AVE STE 650 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336116904 | Namita Goyal | Psychiatry & Neurology | 200 S Manchester Ave, 110, Orange, CA 92868-3217 | 2006-03-02 |
| 1952938763 | Eric Hines | Student in an Organized Health Care Education/Training Program | 200 S Manchester Ave, Orange, CA 92868-3217 | 2020-03-24 |
| 1649703174 | Seung Ah Lee | Student in an Organized Health Care Education/Training Program | 200 S Manchester Ave, Suite 650, Orange, CA 92868-3217 | 2017-04-11 |
| 1033642996 | Dylan Hanami | Family Medicine | 200 S Manchester Ave, Suite 835, Orange, CA 92868-3217 | 2017-04-07 |
| 1679004493 | Pauline Joy Felix Santos | Student in an Organized Health Care Education/Training Program | 200 S Manchester Ave, Suite 650, Orange, CA 92868-3217 | 2017-03-23 |
| 1437513660 | Shadi Lalezari | Student in an Organized Health Care Education/Training Program | 200 S Manchester Ave, Suite 650, Orange, CA 92868-3217 | 2016-04-13 |
| 1720442221 | Douglas Scott | Occupational Therapist | 200 S Manchester Ave, Suite120, Orange, CA 92868-3217 | 2016-04-11 |
| 1134580129 | Shahzeen Sarosh Siganporia | Physical Therapist | 200 S Manchester Ave, Orange, CA 92868-3217 | 2016-03-17 |
| 1912368259 | Julia Armstrong | Speech-Language Pathologist | 200 S Manchester Ave, Suite 100, Orange, CA 92868-3217 | 2016-03-15 |
| 1598126096 | Joy Davis | Physical Therapist | 200 S Manchester Ave, Ste. 100, Orange, CA 92868-3217 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| 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 |
|---|---|---|---|---|
| 1659546323 | Richard Restifo, Md PC | Plastic Surgery | 200 S Orange Center Rd, Orange, CT 06477-3349 | 2008-04-24 |
| 1457328254 | Arthur Hagop Salibian | Plastic Surgery | 1310 W Stewart Drive, Suite 211, Orange, CA 92868-3837 | 2006-03-01 |
| 1710373485 | Melissa Danielle Kanack | Plastic Surgery | 200 S Manchester Ave, Ste 650, Orange, CA 92868-3217 | 2015-04-09 |
| 1952797896 | Christine Jean Lee | Plastic Surgery | 200 S Manchester Ave Ste 650, Orange, CA 92868-3224 | 2015-04-07 |
| 1194068692 | Children's Hospital of Orange County | Plastic Surgery | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2013-04-03 |
| 1811262959 | Eric D Wang | Plastic Surgery | 200 S Manchester Ave Ste 650, Orange, CA 92868-3224 | 2012-03-21 |
| 1548532872 | Leonard G. Prutsok M.d. Inc. | Plastic Surgery | 1310 W. Stewart Drive, Suite 214, Orange, CA 92868-3837 | 2012-02-02 |
| 1003116989 | Aesthetic and Plastic Surgery Institute | Plastic Surgery | 101 The City Dr S, Orange, CA 92868-3201 | 2010-10-26 |
| 1275858821 | Cathy Joyce Tang | Plastic Surgery | 200 S Manchester Ave Ste 650, Orange, CA 92868-3224 | 2010-04-06 |
| 1649442328 | Amber Rachel Leis | Plastic Surgery | 200 S. Manchester Ave, Suite 650, Orange, CA 92868 | 2008-04-02 |
| Find all providers in ORANGE | ||||
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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.