ELITE TRANSFORMATIONS, A PROFESSIONAL MEDICAL CORPORATION (NPI# 1710533864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710533864 |
Entity Type | Organization |
Organization Name | ELITE TRANSFORMATIONS, A PROFESSIONAL MEDICAL CORPORATION |
Practice Address |
1795 El Camino Real Ste 200 Palo Alto CA 94306-1165 |
Mailing Address |
325 Sharon Park Dr # 648 Menlo Park CA 94025-6805 |
Practice Telephone | 8888445665 |
Mailing Telephone | 7023625960 |
Enumeration Date | 2019-08-14 |
Last Update Date | 2019-08-14 |
Authorized Official Name | ORNA FISHER (PRESIDENT) |
Authorized Official Telephone | 7023625960 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
1795 EL CAMINO REAL STE 200 |
City | PALO ALTO |
State | CA |
Zip Code | 94306-1165 |
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 | 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 |
---|---|---|---|---|
1326009572 | Gordon K. Lee | Surgery | 770 Welch Rd, Suite 400, Mailcode 5715, Palo Alto, CA 94304-1511 | 2006-03-29 |
1174907083 | Zeshaan Maan | Surgery | 770 Welch Rd, 4th Floor, Plastic Surgery Office, Palo Alto, CA 94304-1511 | 2015-07-10 |
1447677729 | Daniel Kukhyun Chang | Surgery | 770 Welch Rd Ste 400, Palo Alto, CA 94304-1515 | 2014-03-25 |
1669810479 | Jeff J Kim | Surgery | 770 Welch Rd, Palo Alto, CA 94304 | 2013-06-13 |
1417214503 | Julie Nakyung Kim | Surgery | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2012-04-13 |
1457515645 | Arash Momeni | Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304-5715 | 2008-07-16 |
1023271152 | Judy Pan | Surgery | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2008-07-09 |
1891830881 | Geoffrey Cash Gurtner | Surgery | 900 Blake Wilbur Dr, Plastic Surgery Clinic, Palo Alto, CA 94304-2201 | 2007-02-20 |
1225182181 | David White | Surgery | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2007-01-22 |
1770667198 | Catherine Curtin | Surgery | 770 Welch Rd, Suite 400, Plastic Surgery, Palo Alto, CA 94304-1511 | 2006-10-24 |
Find all providers in PALO ALTO |
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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.