John Larson Plastic Surgery, Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

JOHN LARSON PLASTIC SURGERY, INC

Practice address

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

Phone

(949) 688-7733

Fax

(949) 688-7733

NPI assigned

Dec 27, 2023

Organization subpart

No

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

Authorized official

Name

John Larson, MDNPI 1275991697

Title

Ceo

Phone

(231) 690-9084

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Larson, M.D.

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1275991697
  NPD Authorized official

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1639948094",
    "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": {
        "organization_name": "JOHN LARSON PLASTIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-690-9084",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.