Individual provider Active NPI

John Larson, M.D.

  • Plastic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1275991697
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
142514 Issued in CA
Practice address
4440 Von Karman Ave Ste 150
Newport Beach, CA 92660-2087
Phone
(949) 688-7733
Fax
(949) 688-7733
NPI assigned
Jan 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 142514 CA Primary

Addresses

Primary practice location

4440 Von Karman Ave Ste 150
Newport Beach, CA 92660-2087

Mailing address

4440 Von Karman Ave Ste 150
Newport Beach, CA 92660-2087
Phone (949) 688-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200730002555 CA Practitioner - Plastic and Reconstructive Surgery 1456646587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
142514CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors CurrentSince May 17, 2022 Accepting new patients
United Medical Doctors CurrentSince May 17, 2022 Accepting new patients
John Larson Plastic Surgery, Inc Plastic Surgery CurrentSince Dec 31, 2023 Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

250 Newport Center Dr
Ste 100
Newport Beach, CA 92660
Phone (949) 688-7733

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

4440 Von Karman Ave
Ste 150
Newport Beach, CA 92660

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jlarson750720@direct.memorialcare.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1275991697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 VON KARMAN AVE STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602087",
            "telephone_number": "949-688-7733",
            "fax_number": "949-688-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 VON KARMAN AVE STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602087",
            "telephone_number": "949-688-7733",
            "fax_number": "949-688-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "142514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.