Vincent Donald Lepore Jr.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G048588 Issued in CA

Practice address

2581 Samaritan Dr
Suite 102
San Jose, CA 95124-4113

Phone

(408) 356-4241

Fax

(408) 356-4924

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Plastic & Reconstructive Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Jose, CA
  • NPI 1891837415
  NPD Authorized official
• Plastic & Reconstructive Surgery Associates

  • Plastic Surgery Physician
  • San Jose, CA
  • NPI 1568815207
  NPD (past) Authorized official

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1356389241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR",
            "address_2": "SUITE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244113",
            "telephone_number": "408-356-4241",
            "fax_number": "408-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR",
            "address_2": "SUITE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244113",
            "telephone_number": "408-356-4241",
            "fax_number": "408-356-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPORE",
        "first_name": "VINCENT",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G048588",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G048588",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G048588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "770142258",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP TAX ID",
            "identifier": "770142558",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ15680Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "G048588",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00G485880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI",
            "identifier": "1578689592",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ZZZ15681Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ15681Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Leonti
• Monica Leos
• Leeandra Leota
• Yesica Giselle Lepe, MENTAL HEALTH
• Maureen Elizabeth Leplattenier
• David J Lepp, DC, CSCS
• Sarah Lynn Mendaros Lepulu, R.N.
• Melanie Elizabeth Lerner, LCSW
• Alex Lerza, LMFT
• Wendy Leslie, BA/BS

• Plastic and Reconstructive Surgery Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.