CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO – NPI #1396921797
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO is a surgeon located in BAKERSFIELD, CA. NPPES has assigned the NPI number 1396921797 to CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO on January 15, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 6 years ago on Jun 12, 2020. 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 CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO below.

NPI Profile for
CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO

NPI Number
1396921797
Enumeration Date

(more than 18 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
CALIFORNIA INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY A MEDICAL CO
Primary location
2901 SILLECT AVE
SUITE 201
BAKERSFIELD, CA 93308-6371
Phone: (661) 327-2101 Fax: (661) 327-2554
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VIPUL DEV
OWNER
Phone: (661) 327-2101
Updated
Certification Date
Jun 12, 2020

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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 CA A63639

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.