BEVERLY HILLS OF WESTLAKE PLASTIC SURGERY, INC. (NPI# 1134588775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134588775 |
| Entity Type | Organization |
| Organization Name | BEVERLY HILLS OF WESTLAKE PLASTIC SURGERY, INC. |
| Practice Address |
115 Jensen Ct # 200 Thousand Oaks CA 91360-7406 |
| Mailing Address |
115 Jensen Ct Thousand Oaks CA 91360-7406 |
| Practice Telephone | 8057778956 |
| Mailing Telephone | 8057778956 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | DR. RICHARD M HODNETT (PRESIDENT) |
| Authorized Official Telephone | 8182843027 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
C51707 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
115 JENSEN CT # 200 |
| City | THOUSAND OAKS |
| State | CA |
| Zip Code | 91360-7406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633953 | Rhandi Walters | Marriage & Family Therapist | 208 E Thousand Oaks Blvd, Suite D, Thousand Oaks, CA 91360 | 2020-09-09 |
| 1942709837 | Stephanie Renee Neri | Behavior Technician | 325 E Hillcrest Dr Suite 140, Thousand Oaks, CA 91360 | 2018-02-06 |
| 1104340652 | Fernando Antonio Castaneda | Student in an Organized Health Care Education/Training Program | 325 E Hillcrest Dr Ste 140, Thousand Oaks, CA 91360 | 2017-07-26 |
| 1023548989 | Anna Garduno | Specialist/Technologist | 3680 Campus Drive, Thousand Oaks, CA 91360 | 2017-06-14 |
| 1467996306 | Ava Shokoufi | Marriage & Family Therapist | 280 E Thousand Oaks Blvd Suite D, Thousand Oaks, CA 91360 | 2016-12-12 |
| 1649621517 | Sandy Lynn Mcglynn | Social Worker | 460 East Gainsborough Road, Thousand Oaks, CA 91360 | 2016-06-22 |
| 1316363476 | Lorraine Jordan | Family Medicine | 1331 Witherspoon Dr, Thousand Oaks, CA 91360 | 2014-03-13 |
| 1841612033 | Katherine Snyder | Counselor | 280 East Thousand Oaks Blvd. Suite D, Thousand Oaks, CA 91360 | 2014-01-08 |
| 1235567397 | Christine Maria Katzenmaier | Speech-Language Pathologist | 223 E. Thousand Oaks Blvd, Thousand Oaks, CA 91360 | 2013-10-28 |
| 1912335233 | Lena Ameripour | Behavioral Analyst | 315 E. Hillcrest Dr., Thousand Oaks, CA 91360 | 2013-10-23 |
| Find all providers in zip 91360 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, 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. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860079 | Scanning Trend, Inc | Plastic Surgery | 3111 Los Feliz Blvd Ste 103, Los Angeles, CA 90039-1599 | 2020-04-22 |
| 1811542319 | Napa Solano Plastic Surgery. Inc. | Plastic Surgery | 1175 Trancas Street, Napa, CA 94558 | 2019-08-02 |
| 1548799927 | Affinity Surgery Center, Inc | Plastic Surgery | 16311 Ventura Blvd Ste #555, Encino, CA 91436-4314 | 2017-06-08 |
| 1144774613 | Joseph Lochinvar Dinglasan Sr Md Sr. | Plastic Surgery | 709 Bowcreek Dr, Diamond Bar, CA 91765-1885 | 2016-08-12 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1144547183 | Melanie Malone | Plastic Surgery | 4150 Regents Park Row Ste 280, La Jolla, CA 92037-1417 | 2010-04-30 |
| 1407924137 | Robert F. Nemeroff, M.d., Inc. | Plastic Surgery | 1509 Manning Ave, Los Angeles, CA 90024-5813 | 2006-12-01 |
| 1568495562 | Richard A. Gangnes M.d. Inc. | Plastic Surgery | 665 Camino De Los Mares Ste 100, San Clemente, CA 92673-2840 | 2006-07-10 |
| 1124074059 | Blue Pacific Aesthetic Medical Group | Plastic Surgery | 415 Pier Ave, Hermosa Beach, CA 90254-3820 | 2006-05-25 |
| 1366400830 | Vincent C Hung | Plastic Surgery | 452 North Altadena Dr., Pasadena, CA 91107 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
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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.