EBONIE VINCENT DPM NPI 1457738676

NPI Information

  • NPI: 1457738676
  • Provider Name: EBONIE VINCENT, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16405 SAND CANYON AVE STE 270
    IRVINE, CA
    ZIP 92618
  • Phone: (949) 651-1202

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NPI Details

Ebonie Vincent, DPM is a foot and ankle surgery podiatrist in Irvine, CA with 11 years of experience. Ebonie Vincent, DPM NPI is 1457738676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16405 SAND CANYON AVE STE 270
IRVINE, CA
ZIP 92618
Phone: (949) 651-1202

The NPI 1457738676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)

The enumeration date for this NPI number is 4/27/2015 and was last updated on 6/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist213E00000XNEW JERSEYNo
2213ES0103XPodiatristFoot & Ankle SurgeryE5414CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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