Deschamps-Braly Clinic Of Plastic And Craniofacial Surgery
Surgery, Plastic and Reconstructive Surgery in San Francisco, CA. Organization (NPI-2).
Details
- NPI
- 1619213428
- Entity type
- Organization (NPI-2)
- Legal business name
- Deschamps-Braly Clinic Of Plastic And Craniofacial Surgery
- Organization subpart
- No
- Enumeration date
- Dec 26, 2012
- Certification date
- Dec 20, 2019
- Last updated
- Dec 20, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | A-121399 | CA | Yes |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | A121399 | CA | |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – |
Practice location
360 Post St Ste 901San Francisco, CA 94108-4988
Phone 415-624-3922 · Fax 415-276-9382
Mailing address
360 Post St Ste 901San Francisco, CA 94108-4988
Phone 415-624-3922 · Fax 415-276-9382
Authorized official
Jordan Deschamps-Braly
Owner
4156243922
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.
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