DESCHAMPS-BRALY CLINIC OF PLASTIC AND CRANIOFACIAL SURGERY (NPI# 1619213428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619213428 |
| Entity Type | Organization |
| Organization Name | DESCHAMPS-BRALY CLINIC OF PLASTIC AND CRANIOFACIAL SURGERY |
| Practice Address |
360 Post St Ste 901 San Francisco CA 94108-4988 |
| Practice Telephone | 4156243922 |
| Practice Fax Number | 4152769382 |
| Mailing Telephone | 4156243922 |
| Mailing Fax Number | 4152769382 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | DR. JORDAN DESCHAMPS-BRALY (OWNER) |
| Authorized Official Telephone | 4156243922 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A121399 | CA | Allopathic & Osteopathic Physicians |
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A-121399 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
360 POST ST STE 901 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94108-4988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053451518 | Jordan C Deschamps-braly | Plastic Surgery | 360 Post St Ste 901, San Francisco, CA 94108-4988 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431341 | Victoria Rae Storr | Psychologist | 447 Sutter St., Ste 429, San Francisco, CA 94108 | 2019-11-07 |
| 1104307792 | Kip Therapy Licensed Clinical Social Worker, P.C. | Psychologist | 600 California, San Francisco, CA 94108 | 2018-08-22 |
| 1245735752 | Adele Z Feng | Pharmacist | 251 Kearny St Fl 7, San Francisco, CA 94108 | 2018-03-27 |
| 1659818003 | Webster Surgery Center San Francisco, Lp | Clinic/Center | 450 Sutter St - Suite 400, San Francisco, CA 94108 | 2017-01-24 |
| 1114373370 | Daniel Peixoto Irby | Psychiatry & Neurology | 360 Post St Ste #500, San Francisco, CA 94108 | 2016-05-06 |
| 1902218837 | Deschamps-braly Foundation for Pediatric Craniofacial Maladies | Surgery | 450 Sutter St. #1520, San Francisco, CA 94108 | 2014-05-27 |
| 1356694202 | Chinese Hospital | Acupuncturist | 445 Grant Avenue, Ground Floor, San Francisco, CA 94108 | 2012-10-16 |
| 1831424464 | Kara Mosesso | Nurse Practitioner | 445 Bush St Ste 300, San Francisco, CA 94108 | 2009-10-15 |
| 1043451503 | Brandon Valor Brodt | Pharmacist | 450 Sutter St., Suite 713, San Francisco, CA 94108 | 2009-03-13 |
| 1194983312 | L Todd Iverson | Dentist | 450 Sutter St #2005, San Francisco, CA 94108 | 2008-05-23 |
| Find all providers in zip 94108 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902218837 | Deschamps-braly Foundation for Pediatric Craniofacial Maladies | Surgery | 450 Sutter St. #1520, San Francisco, CA 94108 | 2014-05-27 |
| 1447416771 | Paymon Rahgozar | Surgery | 505 Parnassus Ave # M593, San Francisco, CA 94143-2204 | 2008-08-06 |
| 1760645022 | David Andrew Sieber | Surgery | 450 Sutter St Rm 2630, San Francisco, CA 94108-4205 | 2008-07-08 |
| 1871789826 | Thomas Satterwhite | Surgery | 2299 Post St Ste 207, San Francisco, CA 94115-3473 | 2007-09-23 |
| 1124143797 | James John Romano | Surgery | 1650 Jackson St Ste 101, #101, San Francisco, CA 94109-3059 | 2007-03-20 |
| 1962575563 | Mats Hagstrom | Surgery | 909 Hyde St Ste 210, San Francisco, CA 94109-4845 | 2006-11-15 |
| 1992874960 | Ucsf Center for Craniofacial Anomalies | Surgery | 513 Parnassus Avenue S-747, San Francisco, CA 94143-0442 | 2006-11-06 |
| 1750371571 | Buncke Medical Clinic Inc. | Surgery | 45 Castro St., #121, San Francisco, CA 94114-1010 | 2005-10-24 |
| 1841544871 | Corey S. Maas M.d. A Professional Corporation | Surgery | 2400 Clay St, San Francisco, CA 94115-1809 | 2012-10-29 |
| 1336448554 | Carolyn Jane Vaughn | Surgery | 513 Parnassus Ave, Department of Surgery S-321, San Francisco, CA 94143-0470 | 2011-03-28 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94108 |
Please comment or provide details below to improve the information on DESCHAMPS-BRALY CLINIC OF PLASTIC AND CRANIOFACIAL SURGERY.
| 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.