COSMETIC & RECONSTRUCTIVE SURGERY CENTER (NPI# 1912291394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912291394 |
| Entity Type | Organization |
| Organization Name | COSMETIC & RECONSTRUCTIVE SURGERY CENTER |
| Practice Address |
911 Moraga Rd Suite 205 Lafayette CA 94549-4579 |
| Practice Telephone | 9252838811 |
| Practice Fax Number | 9252838812 |
| Mailing Telephone | 9252838811 |
| Mailing Fax Number | 9252838812 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |
| Authorized Official Name | BARBARA L PERSONS (PRESIDENT) |
| Authorized Official Telephone | 9252838811 |
| Authorized Official Credential | M.D. |
| 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 |
911 MORAGA RD SUITE 205 |
| City | LAFAYETTE |
| State | CA |
| Zip Code | 94549-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483117 | Stuart Harris Bay Area Physical Therapy | Physical Therapist | 911 Moraga Rd, #103, Lafayette, CA 94549-4579 | 2005-11-03 |
| 1184964637 | Suzanne M Sommer | Nurse Practitioner | 911 Moraga Rd, #101, Lafayette, CA 94549-4579 | 2013-02-20 |
| 1821224007 | Christine Bratton | Physical Therapist | 911 Moraga Rd, #103, Lafayette, CA 94549-4579 | 2009-06-02 |
| 1689836082 | Bay Area Physical Therapy, Inc | Physical Therapist | 911 Moraga Rd, #103, Lafayette, CA 94549-4579 | 2008-06-26 |
| 1306956362 | Sassan Falsafi | Otolaryngology | 911 Moraga Rd, Suite 102, Lafayette, CA 94549-4579 | 2006-08-30 |
| 1013020833 | Marc B. Berzansky | Family Medicine | 911 Moraga Rd, Lafayette, CA 94549-4579 | 2006-08-16 |
| 1467484246 | Barbara L. Persons | Surgery | 911 Moraga Rd, Suite 205, Lafayette, CA 94549-4500 | 2006-07-06 |
| 1033145602 | Landrus L Pfeffinger | Orthopaedic Surgery | 911 Moraga Rd, Ste 102, Lafayette, CA 94549-4579 | 2006-06-24 |
| 1306885413 | Josiah Anderson | Physical Therapist | 911 Moraga Rd, #103, Lafayette, CA 94549-4579 | 2006-06-05 |
| 1548225105 | Karen Lee Kashkin | Obstetrics & Gynecology | 911 Moraga Rd, Ste 201, Lafayette, CA 94549-4500 | 2006-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427004 | Veronica Adelaid Valera-averilla | Behavior Technician | 3650 Mt Diablo Blvd. Ste. 107, Lafayette Ca Contra, CA 94549 | 2020-11-06 |
| 1679128870 | Zong Ning Zhou | Behavior Technician | 3650 Mt.diablo Blvd., Suite 107, Lafayette, CA 94549 | 2019-08-05 |
| 1912551227 | Tamiesha Jackson | Behavior Technician | Ste Consultant, LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2019-07-25 |
| 1528525375 | Tiara Lajai Aubrey | Behavior Technician | 3560 Mt. Diablo Blvd, Suite 107, Layfatte, CA 94549 | 2019-02-28 |
| 1215409990 | Marisa Della Marmolejo | Case Manager/Care Coordinator | Ste Consultants, LLC 3650 Mt Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-12-19 |
| 1235608399 | Andrew Thompson | Behavior Technician | 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-11-19 |
| 1982172953 | Amber Jackson | Behavior Technician | Ste, LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-11-08 |
| 1104393396 | Alexis Taper | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-10-26 |
| 1023508793 | Alyssa Savinovich | Behavior Technician | 3560 Mt. Diablo Blvd., Suite 107, Lafayette, CA 94549 | 2018-05-17 |
| 1831689140 | Kannambra M Raja | Behavior Technician | Ste Consultants LLC, 3650 Mt. Diablo Blvd, Suite 107, Lafayette, CA 94549 | 2018-05-11 |
| Find all providers in zip 94549 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1770096273 | Southpark Surgery Center, LLC | Clinic/Center | 901 Wilson St Ste A, Lafayette, LA 70503-2439 | 2017-11-07 |
| 1417294745 | Coal Creek Ambulatory Surgery Center PC | Clinic/Center | 130 Old Laramie Trl Bldg 4, Lafayette, CO 80026 | 2013-01-07 |
| 1598979734 | Jeffrey Craig Friedman | Clinic/Center | 911 Moraga Rd Ste 205, Lafayette, CA 94549-4500 | 2007-05-09 |
| 1174588099 | Iu Health Arnett Hospital, Inc | Clinic/Center | 1327 S 500 E, Lafayette, IN 47905-8718 | 2006-04-20 |
| 1912971326 | Advanced Surgery Center, LLC | Clinic/Center | 1400 Teal Rd, Suite 7, Lafayette, IN 47905-2463 | 2006-02-14 |
| 1124005558 | Surgicenter Group, LLC | Clinic/Center | 3733 Rome Dr, Lafayette, IN 47905-4490 | 2005-12-28 |
| 1154318376 | Lahaye Center for Advanced Eye Care of Lafayette, Inc. | Clinic/Center | 201 Rue Iberville, Suite 800, Lafayette, LA 70508-8503 | 2005-10-03 |
| 1659363844 | Laser & Surgery Center of Acadiana | Clinic/Center | 514 Saint Landry St, Lafayette, LA 70506-4626 | 2005-08-16 |
| Find all providers in LAFAYETTE | ||||
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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.