J S VINCENT MEDICAL GROUP LLC – NPI #1164021598
Plastic Surgery

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

J S VINCENT MEDICAL GROUP LLC is a plastic surgeon located in LOS ANGELES, CA. NPPES has assigned the NPI number 1164021598 to J S VINCENT MEDICAL GROUP LLC on October 17, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2082S0099X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck

The NPI profile was previously updated about 6 years ago on Oct 18, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for J S VINCENT MEDICAL GROUP LLC below.

NPI Profile for
J S VINCENT MEDICAL GROUP LLC

NPI Number
1164021598
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
J S VINCENT MEDICAL GROUP LLC
Primary location
3111 LOS FELIZ BLVD STE 103
LOS ANGELES, CA 90039-1599
Phone: (770) 895-8483 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN BUTORA
BILLING MANAGER
Phone: (562) 787-0225
Updated
Certification Date
Oct 18, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.