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SOM K PLASTIC SURGERY PC
NPI 1457764276
Plastic Surgery in Los Angeles, CA

Active since June 10, 2014
8635 W 3RD ST, SUITE 880W, LOS ANGELES, CA 90048(424) 239-9743 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Som K Plastic Surgery Pc NPPES

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

SOM K PLASTIC SURGERY PC (NPI 1457764276) is a healthcare organization registered as a plastic surgery in Los Angeles, California and active in the NPI registry since June 2014. The organization lists Som Kohanzadeh, President, as its authorized official.

NPPES Registry Identity

NPI1457764276
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameSOM K PLASTIC SURGERY PC
Location Address8635 W 3RD ST, SUITE 880WLos Angeles, CA 90048-6101
Mailing Address8635 W 3rd St, Suite 880wLos Angeles, CA 90048-6101 · (424) 239-9743
Phone(424) 239-9743
Organization SubpartNo
Authorized OfficialSom KohanzadehPresident · (424) 239-9743
Enumeration DateJune 10, 2014
Last NPPES UpdateApril 6, 2017
✔ NPI 1457764276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · A95627
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.
8635 W 3RD ST, Los Angeles, CA 90048
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Som K Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20140826000779Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Som K Plastic Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Som Kohanzadeh, MD
Plastic and Reconstructive Surgery
NPI 1952575342
250 N ROBERTSON BLVD STE 106
Beverly Hills, CA 90211
(310) 919-4179
✔ PECOS✔ Accepts Medicare0.7 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 Som K Plastic Surgery PC's NPI number?

The NPI number for Som K Plastic Surgery PC is 1457764276. It was assigned to this organization in the NPPES registry on June 10, 2014.

Where is Som K Plastic Surgery PC located?

Som K Plastic Surgery PC is located at 8635 W 3rd St Suite 880W, Los Angeles, CA 90048. The listed phone number is (424) 239-9743.

What is Som K Plastic Surgery PC's specialty?

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

Is Som K Plastic Surgery PC enrolled in Medicare?

Yes. Som K Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

When is Som K Plastic Surgery PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Som K Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Som K Plastic Surgery PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Som K Plastic Surgery PC was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.