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PARADIGM SURGICAL SPECIALIST PC
NPI 1023411964
Plastic Surgery in San Rafael, CA

Active since October 07, 2014
1050 NORTHGATE DR STE 510, SAN RAFAEL, CA 94903(415) 250-9251 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paradigm Surgical Specialist Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARADIGM SURGICAL SPECIALIST PC (NPI 1023411964) is a healthcare organization registered as a plastic surgery in San Rafael, California and active in the NPI registry since October 2014. The organization lists David M Young, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023411964
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NamePARADIGM SURGICAL SPECIALIST PC
Location Address1050 NORTHGATE DR STE 510San Rafael, CA 94903-2542
Mailing Address1050 Northgate Dr Ste 510San Rafael, CA 94903-2542 · (415) 250-9251
Phone(415) 250-9251
Organization SubpartNo
Authorized OfficialDavid M YoungAdministrator · (415) 250-9251
Enumeration DateOctober 7, 2014
Last NPPES UpdateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1023411964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
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.
1050 NORTHGATE DR STE 510, San Rafael, CA 94903
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paradigm Surgical Specialist Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Paradigm Surgical Specialist PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Monica Sligh, FNP
Nurse Practitioner
NPI 1114144318
1050 NORTHGATE DR STE 510
San Rafael, CA 94903
(415) 295-7107
✔ PECOS✔ Accepts MedicareSame address
David Young, MD
Plastic and Reconstructive Surgery
NPI 1538127311
400 PARNASSUS AVE
San Francisco, CA 94143
(415) 353-4201
✔ PECOS✔ Accepts Medicare17 mi
Roger Friedenthal, M.D.
Plastic and Reconstructive Surgery
NPI 1164521605
3562 ROUND BARN CIR STE 320
Santa Rosa, CA 95403
(707) 578-1900
✔ PECOS✔ Accepts Medicare34 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paradigm Surgical Specialist PC's NPI number?

The NPI number for Paradigm Surgical Specialist PC is 1023411964. It was assigned to this organization in the NPPES registry on October 7, 2014.

Where is Paradigm Surgical Specialist PC located?

Paradigm Surgical Specialist PC is located at 1050 Northgate Dr Ste 510, San Rafael, CA 94903. The listed phone number is (415) 250-9251.

What is Paradigm Surgical Specialist PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Paradigm Surgical Specialist PC enrolled in Medicare?

Yes. Paradigm Surgical Specialist PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paradigm Surgical Specialist PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Paradigm Surgical Specialist PC, in Nurse Practitioner and Plastic and Reconstructive Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paradigm Surgical Specialist PC was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.