Organization Active NPI

Gregory J. Vipond, M.D., Inc.

  • Facial Plastic Surgery Physician
  • Arcadia, CA
National Provider Identifier
1255632543
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A100020 Issued in CA
Legal business name
GREGORY J. VIPOND, M.D., INC.
Practice address
51 N 5TH Ave
Suite 202
Arcadia, CA 91006-3710
Phone
(626) 357-6222
Fax
(626) 357-6848
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gregory J Vipond, M.D.NPI 1750590188
Title
President
Phone
(646) 872-5215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X A100020 CA Primary

Addresses

Primary practice location

51 N 5TH Ave
Suite 202
Arcadia, CA 91006-3710

Mailing address

51 N 5TH Ave
Suite 202
Arcadia, CA 91006-3710
Phone (626) 357-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000170 CA Part B Supplier - Clinic/Group Practice 3375725393 Receives reassigned benefits from 1 practitioner
Practice locations: Claremont, CA

National Provider Directory

National Provider Directory

Locations

1601 Monte Vista Ave
Ste 200
Claremont, CA 91711
Phone (909) 608-7700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1255632543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 5TH AVE",
            "address_2": "SUITE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063710",
            "telephone_number": "626-357-6222",
            "fax_number": "626-357-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 5TH AVE",
            "address_2": "SUITE 202",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063710",
            "telephone_number": "626-357-6222",
            "fax_number": "626-357-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY J. VIPOND, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "VIPOND",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-872-5215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A100020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.