Dr. Frederic Jerome Kolb
Plastic Surgery

Address: 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911
Phone: 6195436084

Dr. Frederic Jerome Kolb (NPI# 1790341832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1790341832
Entity Type Individual
Full Name Dr. Frederic Jerome Kolb
Credential MD
Gender Male
Practice Address 200 W Arbor Dr # Mc8890
San Diego
CA 92103-1911
Practice Telephone 6195436084
Mailing Address Po Box 232410
San Diego
CA 92193-2410
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-05-14
Last Update Date 2019-10-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208200000X Plastic Surgery Allopathic & Osteopathic Physicians SFP39 CA

Other Provider Identifier

State Identifier Issuer Type Code
CA ZZZP3716Z OTHER MEDI-CAL
CA 95-6006144 OTHER UCSD PLASTIC SURGERY
CA 23-7064656 OTHER UCSD MEDICAL GROUP

Secondary Practice Locations

Address Telephone Number Fax Number
4510 Executive Dr Ste 103, San Diego, CA 921213022 8584531469

Physician Overview

NPI 1790341832
PAC ID by PECOS 5395077689
Professional Enrollment ID I20191106002357
Full Name Frederic Jerome Kolb
Organization Legal Name REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
Phone Number 6192945944
Gender M
Graduation Year 1989
Primary Specialty PLASTIC AND RECONSTRUCTIVE SURGERY
Group Practice PAC ID 3577476761
Number of Group Practice Members 1362
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050025 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396383212 La Jolla Professional Plastic Surgery Plastic Surgery 4510 Executive Dr. Suite 105, San Diego, CA 92121 2019-12-11
1891213245 Rishi Jindal Md Inc Plastic Surgery 12264 El Camino Real Ste 101, San Diego, CA 92130-3060 2017-09-06
1548530454 Dan Sullivan Smith Plastic Surgery 5988 Saint Denis Ter, San Diego, CA 92120-3015 2012-01-09
1134453640 Gary Haves Manchester Plastic Surgery 3720 Fourth Ave, San Diego, DC 92110-4763 2009-09-30
1992937304 Stuart B Kincaid Md, Facs, Apc Plastic Surgery 8929 University Center Ln Ste 201, San Diego, CA 92122-1008 2009-08-18
1851528137 Aram Harijan Plastic Surgery 1830 Reed Ave Apt 2, San Diego, CA 92109 2009-06-15
1760636534 Ahmad Nazih Saad Plastic Surgery 5370 Toscana Way, Unit H212, San Diego, CA 92122-5656 2008-11-06
1528239761 Innovative Plastic & Cosmetic Surgery Inc Plastic Surgery 6610 Flanders Dr, Suite 101, San Diego, CA 92121-3940 2008-03-16
1316069503 Salvatore John Pacella IIi Plastic Surgery 12395 El Camino Real Ste 112, San Diego, CA 92130-3084 2007-04-06
1639290075 Farid Brad Mozaffari Plastic Surgery 3655 Nobel Dr Ste 100, San Diego, CA 92122-1004 2007-04-03
Find all providers in SAN DIEGO

Office Location

Street Address 200 W ARBOR DR # MC8890
City SAN DIEGO
State CA
Zip Code 92103-1911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821626938 Garrison Alecsander Leach Student in an Organized Health Care Education/Training Program 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 2020-04-01
1942866785 Meera Reghunathan Student in an Organized Health Care Education/Training Program 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 2019-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
Find all providers in zip 92103

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.