OrganizationActive
Craniofacial/Cleft Palate Program
NPI 1093959900 · Specialist · Los Angeles, CA
Craniofacial/Cleft Palate Program is a Specialist organization in Los Angeles, CA (NPI 1093959900).
Provider details
- NPI number
- 1093959900
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Libby Wilson, Plastic Surgeon(213) 742-1433
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
403 W Adams Blvd
4th Floor
Los Angeles, CA 90007-2664
Phone: (213) 742-1433
Fax: (213) 742-1496
Street-level locationGet directions
Mailing address
403 W Adams Blvd
Los Angeles, CA 90007-2664
Other names (DBA / former)
- Former legal business name
- Cleft Palate Program Medical Practice Group
Registry dates
- Enumerated
- 2009-04-22
- Last updated
- 2015-08-18
Frequently asked questions
- What is Craniofacial/Cleft Palate Program's NPI number?
- Craniofacial/Cleft Palate Program's National Provider Identifier (NPI) is 1093959900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Craniofacial/Cleft Palate Program?
- Craniofacial/Cleft Palate Program is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Craniofacial/Cleft Palate Program located?
- Craniofacial/Cleft Palate Program's practice location on file with NPPES is 403 W Adams Blvd, Los Angeles, CA 90007-2664.
- What is Craniofacial/Cleft Palate Program's phone number?
- The practice phone number listed in the NPPES registry for Craniofacial/Cleft Palate Program is (213) 742-1433.
- Who is the authorized official for Craniofacial/Cleft Palate Program?
- The authorized official listed on Craniofacial/Cleft Palate Program's NPPES record is Libby Wilson, Plastic Surgeon. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Craniofacial/Cleft Palate Program's NPI active?
- Yes — Craniofacial/Cleft Palate Program's NPI (1093959900) is active in the NPPES registry as of the last update on 2015-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.