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WESTLAKE PREMIER SURGERY CENTER
NPI 1336497353
Otolaryngology - Facial Plastic Surgery in Westlake Village, CA

Active since August 23, 2012CLIA 05D2293075 · Waiver
2835 TOWNSGATE RD STE 101, WESTLAKE VILLAGE, CA 91361(805) 715-4996(805) 715-4995 Get Directions Write a Review

NPPES record last updated: April 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2024, Sep 20, 2021, Oct 27, 2018 (3 updates tracked since 2018).

About Westlake Premier Surgery Center NPPES

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

WESTLAKE PREMIER SURGERY CENTER (NPI 1336497353) is a healthcare organization registered as a facial plastic surgery in Westlake Village, California and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Kristina Tansavatdi, President, as its authorized official.

NPPES Registry Identity

NPI1336497353
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameTANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY INC
Location Address2835 TOWNSGATE RD STE 101Westlake Village, CA 91361-3005
Mailing Address2835 Townsgate Rd Ste 100Westlake Village, CA 91361-5021 · (805) 715-4996
Phone(805) 715-4996
Fax(805) 715-4995
Organization SubpartNo
Authorized OfficialKristina TansavatdiPresident · (805) 715-4996
Enumeration DateAugust 23, 2012
Last NPPES UpdateApril 7, 20243 updates tracked since enumeration
NPPES CertifiedApril 7, 2024
✔ NPI 1336497353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in CA · A116470
Definition
An otolaryngologist who specializes in facial plastic surgery.
2835 TOWNSGATE RD STE 101, Westlake Village, CA 91361
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Other Names 2

Doing Business AsWestlake Premier Surgery Center
Doing Business AsTansavatdi Facial Plastic Surgery

Other Identifiers 1

Other1932397007Npi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2293075

Tansavatdi Cosmetic & Reconstructive Surgery Inc · Westlake Village, CA
Active · expires Nov 1, 2027
CLIA Number05D2293075
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorKristina Tansavatdi
Laboratory Phone(805) 715-4996
Laboratory LocationTansavatdi Cosmetic & Reconstructive Surgery Inc2835 Townsgate Road # 100, Westlake Village, CA 91361
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tansavatdi Cosmetic & Reconstructive Surgery Inc's NPI number?

The NPI number for Tansavatdi Cosmetic & Reconstructive Surgery Inc is 1336497353. It was assigned to this organization in the NPPES registry on August 23, 2012. The provider is doing business as Westlake Premier Surgery Center and Tansavatdi Facial Plastic Surgery.

Where is Tansavatdi Cosmetic & Reconstructive Surgery Inc located?

Tansavatdi Cosmetic & Reconstructive Surgery Inc is located at 2835 Townsgate Rd Ste 101, Westlake Village, CA 91361. The listed phone number is (805) 715-4996.

What is Tansavatdi Cosmetic & Reconstructive Surgery Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Does Tansavatdi Cosmetic & Reconstructive Surgery Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2293075) is associated with this NPI, valid through November 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tansavatdi Cosmetic & Reconstructive Surgery Inc was last updated on April 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.