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KANIFF COSMETIC MEDICAL CENTER, INC
NPI 1669515862
Otolaryngology - Plastic Surgery within the Head & Neck in Sacramento, CA

Active since February 15, 2007CLIA 05D2104823 · Waiver
631 FULTON AVE, SACRAMENTO, CA 95825(916) 480-9080(916) 480-9411 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaniff Cosmetic Medical Center, Inc NPPES

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

KANIFF COSMETIC MEDICAL CENTER, INC (NPI 1669515862) is a healthcare organization registered as a plastic surgery within the head & neck in Sacramento, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through November 11, 2027 and lists Thomas E Kaniff, President, as its authorized official.

NPPES Registry Identity

NPI1669515862
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameKANIFF COSMETIC MEDICAL CENTER, INC
Location Address631 FULTON AVESacramento, CA 95825-4813
Mailing Address631 Fulton AveSacramento, CA 95825-4813 · (916) 480-9080 · Fax (916) 480-9411
Phone(916) 480-9080
Fax(916) 480-9411
Organization SubpartNo
Authorized OfficialThomas E KaniffPresident · (916) 480-9080
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJune 18, 2008
✔ NPI 1669515862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
631 FULTON AVE, Sacramento, CA 95825
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Other Identifiers 1

Medicare UPINC51258CA

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 05D2104823

Kaniff Cosmetic Medical Center · Sacramento, CA
Active · expires Nov 11, 2027
CLIA Number05D2104823
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 12, 2025
Certificate Expiration DateNovember 11, 2027
Laboratory DirectorThomas E. Kaniff
Laboratory Phone(916) 480-9080
Laboratory LocationKaniff Cosmetic Medical Center631 Fulton Ave, Sacramento, CA 95825
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

THOMAS E KANIFF MD
Otolaryngology (Plastic Surgery within the Head & Neck)
631 FULTON AVE
SACRAMENTO, CA 95825
Sacramento County (916) 480-9080

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 Kaniff Cosmetic Medical Center, Inc's NPI number?

The NPI number for Kaniff Cosmetic Medical Center, Inc is 1669515862. It was assigned to this organization in the NPPES registry on February 15, 2007.

Where is Kaniff Cosmetic Medical Center, Inc located?

Kaniff Cosmetic Medical Center, Inc is located at 631 Fulton Ave, Sacramento, CA 95825. The listed phone number is (916) 480-9080.

What is Kaniff Cosmetic Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Does Kaniff Cosmetic Medical Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2104823) is associated with this NPI, valid through November 11, 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 Kaniff Cosmetic Medical Center, Inc was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.