SSK PLASTIC SURGERY INC (NPI# 1578971230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578971230 |
| Entity Type | Organization |
| Organization Name | SSK PLASTIC SURGERY INC |
| Practice Address |
500 Superior Ave 340 Newport Beach CA 92663-3657 |
| Mailing Address |
21163 Newport Coast Dr # 132 Newport Coast CA 92657-1123 |
| Practice Telephone | 9495157874 |
| Practice Fax Number | 9496507874 |
| Mailing Telephone | 9493952266 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | DR. SHAHROOZ SEAN KELISHADI (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9493952266 |
| 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 |
500 SUPERIOR AVE 340 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638031 | Dennis T Jordanides | Internal Medicine | 500 Superior Ave, Suite 135, Newport Beach, CA 92663-3657 | 2005-06-09 |
| 1376005504 | Chelsea Carroll | Dietitian, Registered | 500 Superior Ave, Newport Beach, CA 92663-3657 | 2019-04-05 |
| 1720434681 | Preventive Healthcare Medical Centers | Internal Medicine | 500 Superior Ave, Suite 100, Newport Beach, CA 92663-3657 | 2016-05-10 |
| 1528436383 | Alessandra Rolla | Physician Assistant | 500 Superior Ave, Suite 335, Newport Beach, CA 92663-3657 | 2015-09-10 |
| 1548638406 | Pacific Women's Healthcare Associaes | Nurse Practitioner | 500 Superior Ave, Suite 310, Newport Beach, CA 92663-3657 | 2015-09-09 |
| 1285001743 | Angela Bohning | Nurse Practitioner | 500 Superior Ave, Suite 310, Newport Beach, CA 92663-3657 | 2015-08-31 |
| 1437595485 | Marina Maslovaric Md Inc | Obstetrics & Gynecology | 500 Superior Ave, Suite 330, Newport Beach, CA 92663-3657 | 2013-05-17 |
| 1912246570 | Pure Dermatology | Dermatology | 500 Superior Ave, Ste 335, Newport Beach, CA 92663-3657 | 2013-02-01 |
| 1457626459 | Huntington Reproductive Center Medical Group, A Medical Corporation | Clinical Medical Laboratory | 500 Superior Ave, Suite 210, Newport Beach, CA 92663-3657 | 2012-03-09 |
| 1326318155 | Dennis Jordanides Md Inc | Internal Medicine | 500 Superior Ave, Suite # 135, Newport Beach, CA 92663-3657 | 2012-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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 |
|---|---|---|---|---|
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1619491206 | Crystal Osborn | Plastic Surgery | 4501 Birch St Ste B, Newport Beach, CA 92660-1928 | 2017-07-26 |
| 1982032009 | Pacific Cosmetic and Facelift Center Inc. | Plastic Surgery | 1601 Dove St Ste 125, Newport Beach, CA 92660-1419 | 2013-10-29 |
| 1336405752 | Donald Stewart Mowlds Jr. | Plastic Surgery | 1441 Avocado Ave Ste 203, Newport Beach, CA 92660 | 2012-04-10 |
| 1679848246 | Thomas Walter Barnes | Plastic Surgery | 1441 Avocado Avenue #207, Newport Beach, CA 92660 | 2012-03-15 |
| 1316242647 | Brian P. Dickinson, M.d., Inc | Plastic Surgery | 351 Hospital Rd Ste 305, Newport Beach, CA 92663-3505 | 2011-01-18 |
| 1821324682 | Terry J. Dubrow A Medical Corp | Plastic Surgery | 1617 Westcliff Dr Ste 100, Newport Beach, CA 92660-5525 | 2009-10-28 |
| 1295965440 | Aisthetikos, Inc | Plastic Surgery | 1501 Superior Avenue, Suite 303, Newport Beach, CA 92663-3641 | 2009-07-22 |
| 1134315930 | James H. Rosing | Plastic Surgery | 1441 Avocado Ave Ste 708, Newport Beach, CA 92660-7708 | 2007-09-14 |
| 1386848984 | Angela Ferguson Champion | Plastic Surgery | 2121 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2007-06-14 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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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.