BAY AREA ESTHETICS PLASTIC SURGERY – NPI #1497329940
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.

BAY AREA ESTHETICS PLASTIC SURGERY is a plastic surgeon located in SANTA ROSA, CA. NPPES has assigned the NPI number 1497329940 to BAY AREA ESTHETICS PLASTIC SURGERY on May 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAY AREA ESTHETICS PLASTIC SURGERY” is a dba name, the actual legal business name for this organization is BAY AREA ESTHETICS PLASTIC SURGERY INC. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 3 years ago on Jan 24, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAY AREA ESTHETICS PLASTIC SURGERY below.

NPI Profile for
BAY AREA ESTHETICS PLASTIC SURGERY INC

NPI Number
1497329940
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAY AREA ESTHETICS PLASTIC SURGERY INC
Doing Business As (dba): BAY AREA ESTHETICS PLASTIC SURGERY
Primary location
1111 SONOMA AVE STE 210
SANTA ROSA, CA 95405-4833
Phone: (209) 339-8921 Fax: (415) 523-5235
2 Other location(s):
167 Lynch Creek Way
Petaluma, CA 94954-2343
Phone: (707) 324-3241
Fax: (707) 324-3241
490 Post St Ste 1701
San Francisco, CA 94102-1308
Phone: (415) 523-5235
Fax: (415) 523-5235
Mailing address
530 DIVISADERO ST. PMB 759
SAN FRANCISCO, CA 94117-2213
Phone: (415) 523-5235 Fax: (415) 523-5235
Organization Subpart
No
Authorized Official
NAVID POURTAHERI
PRESIDENT AND SECRETARY
Phone: (415) 523-5235
Updated
Certification Date
Jan 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)
163WW0000X
- Registered Nurse / Wound Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.