PREMIER PLASTIC SURGERY CENTER (NPI# 1952669533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952669533 |
| Entity Type | Organization |
| Organization Name | PREMIER PLASTIC SURGERY CENTER |
| Other Organization Name | TRIDENT MOUNTAIN LP |
| Practice Address |
1795 El Camino Real Suite 200 Palo Alto CA 94306-1164 |
| Practice Telephone | 6503217100 |
| Practice Fax Number | 6503233220 |
| Mailing Telephone | 6503217100 |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2017-01-23 |
| Authorized Official Name | MRS. WINDY HE (PRACTICE MANGER) |
| Authorized Official Telephone | 6503217100 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AAAASF | 3388 | 01 |
| Other Name | Type Code |
|---|---|
| Trident Mountain LP | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437571668 | Premier Plastic Surgery Center | Clinic/Center | 2228 Cahaba Valley Dr, Birmingham, AL 35242-2665 | 2014-01-07 |
| Street Address |
1795 EL CAMINO REAL SUITE 200 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619012762 | James Newman | Plastic Surgery | 1795 El Camino Real, Suite 200, Palo Alto, CA 94306-1164 | 2007-02-20 |
| 1194024646 | Jill L Hessler Md PC | Otolaryngology | 1795 El Camino Real, Suite 200, Palo Alto, CA 94306-1164 | 2011-03-23 |
| 1679892491 | Premier Plastic Surgery | Clinic/Center | 1795 El Camino Real, Suite 200, Palo Alto, CA 94306-1164 | 2010-05-18 |
| 1265556344 | Orna Fisher | Plastic Surgery | 1795 El Camino Real, Suite 200, Palo Alto, CA 94306-1164 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457707473 | Targ Surgery Center | Clinic/Center | 800 E Greenwich Pl, Palo Alto, CA 94303-3416 | 2016-05-09 |
| 1013399989 | Palo Alto Surgery Center | Clinic/Center | 695 High St, Palo Alto, CA 94301-1626 | 2015-06-26 |
| 1912214685 | Jennifer Baron, Md, A Medical Corporation | Clinic/Center | 143 Rinconada Ave, Palo Alto, CA 94301-3726 | 2010-09-01 |
| 1114400280 | Alma At Addison Surgery Center, LLC | Clinic/Center | 105 Addison Ave, Palo Alto, CA 94301-2401 | 2018-09-13 |
| 1679892491 | Premier Plastic Surgery | Clinic/Center | 1795 El Camino Real, Suite 200, Palo Alto, CA 94306-1164 | 2010-05-18 |
| 1104067115 | Sutter Bay Medical Foundation | Clinic/Center | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2009-03-20 |
| 1477675841 | Plastic Surgery Center LLC | Clinic/Center | 1515 El Camino Real, Suite A, Palo Alto, CA 94306-1052 | 2007-04-04 |
| 1619944824 | Waverley Surgery Center LLC | Clinic/Center | 400 Forest Ave, Palo Alto, CA 94301-2608 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.