1. Home
  2. Directory
  3. California
  4. San Jose
  5. Specialist
  6. NPI Profile

AESTHETIC AND REFRACTIVE SURGERY MEDICAL CENTER, INC.
NPI 1124111711
Specialist in San Jose, CA

Active since October 02, 2006
455 OCONNOR DR, SUITE 180B, SAN JOSE, CA 95128(408) 998-8109(408) 998-1884 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aesthetic And Refractive Surgery Medical Center, Inc. NPPES

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

AESTHETIC AND REFRACTIVE SURGERY MEDICAL CENTER, INC. (NPI 1124111711) is a healthcare organization registered as a specialist in San Jose, California and active in the NPI registry since October 2006. The organization lists Randal T Pham, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124111711
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAESTHETIC AND REFRACTIVE SURGERY MEDICAL CENTER, INC.
Location Address455 OCONNOR DR, SUITE 180BSan Jose, CA 95128-1633
Mailing Address455 Oconnor Dr, Suite 180bSan Jose, CA 95128-1633 · (408) 998-8109 · Fax (408) 998-1884
Phone(408) 998-8109
Fax(408) 998-1884
Organization SubpartNo
Authorized OfficialRandal T PhamMedical Director · (408) 998-0166
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 30, 2014
✔ NPI 1124111711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G071297
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
455 OCONNOR DR, San Jose, CA 95128
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified00G712971CA
Medicare UPINF58293CA
Medicare ID-Type Unspecified00G712970CA

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRIS CHUNG, MD, INC.
Family Medicine (Sports Medicine)
455 OCONNOR DR, #150
SAN JOSE, CA 95128
Santa Clara County (408) 293-7767
DR. AMY G WATSON MD
Family Medicine
455 OCONNOR DR, SUITE 200
SAN JOSE, CA 95128
Santa Clara County (408) 283-7676
MICHAEL JAMES HENEHAN DO
Family Medicine
455 OCONNOR DR, STE 210
SAN JOSE, CA 95128
Santa Clara County (408) 995-5453
ANNIE BERTHA-CHAO CHERN M.D.
Family Medicine
455 OCONNOR DR, SUITE 210
SAN JOSE, CA 95128
Santa Clara County (408) 995-5453
DR. DALJEET RAI M.D.
Family Medicine
455 OCONNOR DR, STE 210
SAN JOSE, CA 95128
Santa Clara County (408) 995-5453
RICHARD IAN ROSS
Emergency Medicine
455 OCONNOR DR, SUITE 250
SAN JOSE, CA 95128
Santa Clara County (408) 283-7767
ROBERT MICHAEL NORMAN M.D.
Family Medicine
455 OCONNOR DR, STE210
SAN JOSE, CA 95128
Santa Clara County (408) 995-5453
DR. DAVID SHIN M.D.
Family Medicine (Sports Medicine)
455 OCONNOR DR, SUITE 250
SAN JOSE, CA 95128
Santa Clara County (408) 283-7676

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 Aesthetic And Refractive Surgery Medical Center, Inc.'s NPI number?

The NPI number for Aesthetic And Refractive Surgery Medical Center, Inc. is 1124111711. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Aesthetic And Refractive Surgery Medical Center, Inc. located?

Aesthetic And Refractive Surgery Medical Center, Inc. is located at 455 Oconnor Dr Suite 180B, San Jose, CA 95128. The listed phone number is (408) 998-8109.

What is Aesthetic And Refractive Surgery Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Aesthetic And Refractive Surgery Medical Center, Inc. was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.