Active NPI
Melvyn Bircoll, M.D.
- Plastic Surgery Physician
- Los Angeles, CA
National Provider Identifier
1023300233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- C-27734
- Practice address
- 2337 Roscomare Rd
# 219
Los Angeles, CA 90077-1854 - Phone
- (310) 471-1550
- Fax
- (310) 471-5970
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | C-27734 | CA | Primary |
Addresses
Primary practice location
2337 Roscomare Rd
# 219
Los Angeles, CA 90077-1854
Mailing address
2337 Roscomare Rd
# 219
Los Angeles, CA 90077-1854
Phone (310) 471-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-27734 | CA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1023300233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 ROSCOMARE RD",
"address_2": "# 219",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771854",
"telephone_number": "310-471-1550",
"fax_number": "310-471-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2337 ROSCOMARE RD",
"address_2": "# 219",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771854",
"telephone_number": "310-471-1550",
"fax_number": "310-471-5970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCOLL",
"first_name": "MELVYN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "C-27734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.