PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES MED GRP INC NPI 1578689592

NPI Information

  • NPI: 1578689592
  • Provider Name: PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES MED GRP INC
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Organization
  • Address: 2581 SAMARITAN DR
    SUITE 102
    SAN JOSE, CA
    ZIP 95124
  • Phone: (408) 356-4241

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NPI Details

PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES MED GRP INC is a plastic and reconstructive surgery surgery in San Jose, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC & RECONSTRUCTIVE SURGERY ASSOCIATES MED GRP INC NPI is 1578689592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2581 SAMARITAN DR
SUITE 102
SAN JOSE, CA
ZIP 95124-113
Phone: (408) 356-4241
Fax: (402) 356-4924

The provider's authorized official is Vincent Donald Lepore .
The authorized official title is President and has the following contact phone number (408) 356-4241.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 10/28/2014.

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
12086S0122XSurgeryPlastic and Reconstructive SurgeryE27409CALIFORNIANo
22086S0122XSurgeryPlastic and Reconstructive SurgeryA27409CALIFORNIANo
32086S0122XSurgeryPlastic and Reconstructive Surgery00G485880CALIFORNIANo
42086S0122XSurgeryPlastic and Reconstructive Surgery00G591810CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERCALIFORNIATAX ID FOR VINCENT LEPORE
2ZZZ15681ZOTHERCALIFORNIABCBS
3A51107MEDICARE UPINCALIFORNIA
4=========OTHERCALIFORNIATAX ID FOR COMPANY
500G485880MEDICARE PINCALIFORNIA
61356389241OTHERCALIFORNIADR LEPORE INDIVUAL NPI NUMBER

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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