Bay Area Esthetics Plastic Surgery INC
Plastic Surgery in Santa Rosa, CA. Organization (NPI-2).
Details
- NPI
- 1497329940
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Area Esthetics Plastic Surgery INC
- Organization subpart
- No
- Enumeration date
- May 19, 2021
- Certification date
- Jan 24, 2023
- Last updated
- Jan 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | – | – | Yes |
| 163WW0000X | Registered Nurse, Wound Care | – | – |
Other names
- Bay Area Esthetics Plastic Surgery (Doing Business As)
Practice location
1111 Sonoma Ave Ste 210Santa Rosa, CA 95405-4833
Phone 209-339-8921 · Fax 415-523-5235
Mailing address
530 Divisadero St. Pmb 759San Francisco, CA 94117-2213
Phone 415-523-5235 · Fax 415-523-5235
Other practice locations
San Francisco, CA 94102-1308
Phone 415-523-5235 · Fax 415-523-5235
Petaluma, CA 94954-2343
Phone 707-324-3241 · Fax 707-324-3241
Authorized official
Navid Pourtaheri
President And Secretary
4155235235
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Plastic Surgery Physician providers in Santa Rosa, CA
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- Harold R. Mancusi-Ungaro, MDNPI 1245382050
- David E MarcusNPI 1083639090
- Conner Jeffrey McMains, MDNPI 1922568401
- Kent E Mellerstig, MDNPI 1649253659
All 8 Plastic Surgery Physician providers in Santa Rosa · All 8,142 providers in Santa Rosa
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