OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
NPI 1639119050
Specialist in Fullerton, CA

Active since June 07, 2006
301 W BASTANCHURY RD, SUITE 191, FULLERTON, CA 92835(714) 449-1940(714) 449-1988 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ophthalmic Facial Plastic Surgery Institute A Medical Corporation NPPES

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

OPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION (NPI 1639119050) is a healthcare organization registered as a specialist in Fullerton, California and active in the NPI registry since June 2006. The organization lists Sam Goldberger, President, as its authorized official.

NPPES Registry Identity

NPI1639119050
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOPHTHALMIC FACIAL PLASTIC SURGERY INSTITUTE A MEDICAL CORPORATION
Location Address301 W BASTANCHURY RD, SUITE 191Fullerton, CA 92835-3419
Mailing Address9735 Wilshire Blvd., Ste 319Beverly Hills, CA 90212-2100 · (310) 276-0044 · Fax (310) 271-7003
Fax(714) 449-1988
Organization SubpartYes
Authorized OfficialSam GoldbergerPresident · (714) 449-1940
Enumeration DateJune 7, 2006
Last NPPES UpdateFebruary 1, 2013
NPI 1639119050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · WG62027I
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.
301 W BASTANCHURY RD, Fullerton, CA 92835

Other Identifiers 2

Medicare ID-Type UnspecifiedW18547CA · Group Id
Medicare ID-Type UnspecifiedWG62027ICA · Provider Id

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.

Ophthalmology
301 W BASTANCHURY RD, SUITE 10
FULLERTON, CA 92835
Dermatology
301 W BASTANCHURY RD, SUITE 210
FULLERTON, CA 92835
Dentist (Endodontics)
301 W BASTANCHURY RD, SUITE 110
FULLERTON, CA 92835
Physician Assistant
301 W BASTANCHURY RD, SUITE 210
FULLERTON, CA 92835
Registered Nurse
301 W BASTANCHURY RD, SUITE 210
FULLERTON, CA 92835
Ophthalmology (Retina Specialist)
301 W BASTANCHURY RD, 285
FULLERTON, CA 92835
Allergy & Immunology (Allergy)
301 W BASTANCHURY RD, SUITE 25
FULLERTON, CA 92835
Urology
301 W BASTANCHURY RD, # 180
FULLERTON, CA 92835

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 Ophthalmic Facial Plastic Surgery Institute A Medical Corporation's NPI number?

The NPI number for Ophthalmic Facial Plastic Surgery Institute A Medical Corporation is 1639119050. It was assigned to this organization in the NPPES registry on June 7, 2006.

Where is Ophthalmic Facial Plastic Surgery Institute A Medical Corporation located?

Ophthalmic Facial Plastic Surgery Institute A Medical Corporation is located at 301 W Bastanchury Rd Suite 191, Fullerton, CA 92835. The listed phone number is (714) 449-1940.

What is Ophthalmic Facial Plastic Surgery Institute A Medical Corporation'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 Ophthalmic Facial Plastic Surgery Institute A Medical Corporation was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.