Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Baughman, MDPHD

Individual provider Plastic Surgery Physician · NPI 1619316783

Dr. Ethan Baughman, MDPHD is a Plastic and Reconstructive Surgery in Westlake Village, California. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
13
Licensed in
CA, MO
In the registry since
2013
Specialties on file
2

Practice location Address checks out

32144 Agoura Rd Ste 220
Westlake Village, CA 91361-4057
Phone: (805) 409-7537
Fax: (310) 363-7610
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A158793 (CA)
Plastic Surgery Physician Taxonomy 208200000X · Licence 2013020089 (MO)

Record details

NPI number1619316783
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedJune 21, 2013
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Westlake Village