PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES (NPI# 1568815207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568815207 |
| Entity Type | Organization |
| Organization Name | PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES |
| Practice Address |
2581 Samaritan Dr Ste 102 San Jose CA 95124-4112 |
| Practice Telephone | 8885666663 |
| Mailing Telephone | 8885666663 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | VINCENT D LEPORE JR. (PRESIDENT) |
| Authorized Official Telephone | 8885666663 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | G048588 | CA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES, LLC | 3 Tucker Meadow Road, Woodbridge, CT 06525 |
| Street Address |
2581 SAMARITAN DR STE 102 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891837415 | Plastic & Reconstructive Surgery Center | Clinic/Center | 2581 Samaritan Dr Ste 102, San Jose, CA 95124-4112 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| 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 |
|---|---|---|---|---|
| 1043445950 | Deepak Gupta | Plastic Surgery | 751 S Bascom Ave Ste 4q261, San Jose, CA 95128-2604 | 2009-05-20 |
| 1730286626 | Melody Lynd | Plastic Surgery | 2450 Samaritan Dr, Suite 2, San Jose, CA 95124-3912 | 2006-09-20 |
| 1720095565 | Tony H Pham | Plastic Surgery | 2307 Forest Ave, San Jose, CA 95128-4609 | 2006-08-02 |
| 1104006808 | Drew J Davis | Plastic Surgery | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2007-11-09 |
| 1184823205 | Kirk A Churukian Md Psc | Plastic Surgery | 2400 Samaritan Dr, Suite 103, San Jose, CA 95124-3910 | 2007-07-18 |
| 1649473679 | Keith Elliott Follmar | Plastic Surgery | 280 Hospital Pkwy, San Jose, CA 95119-1103 | 2007-06-07 |
| 1780715409 | Kirk Anthony Churukian | Plastic Surgery | 2400 Samaritan Dr, Suite 103, San Jose, CA 95124-3910 | 2007-03-07 |
| 1639230436 | Agheg Mihran Yenikomshian | Plastic Surgery | 2585 Samaritan Dr, Suite 302, San Jose, CA 95124-4107 | 2006-12-13 |
| 1578649000 | Alan Bindiger | Plastic Surgery | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1831275361 | Jonathan N. Zelnik | Plastic Surgery | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| Find all providers in SAN JOSE | ||||
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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.