Individual provider Active NPI

Gregory J Vipond, M.D.

  • Facial Plastic Surgery Physician
  • Claremont, CA
National Provider Identifier
1750590188
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A100020 Issued in CA
Practice address
1601 Monte Vista Ave
Suite 200
Claremont, CA 91711-2962
Phone
(909) 608-7770
Fax
(909) 931-7411
NPI assigned
May 22, 2007
Last updated
Sep 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X A100020 CA Primary
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X A100020 CA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X A100020 CA

Addresses

Primary practice location

1601 Monte Vista Ave
Suite 200
Claremont, CA 91711-2962

Mailing address

1601 Monte Vista Ave
Suite 200
Claremont, CA 91711-2962
Phone (909) 608-7770

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
I20100928001606 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 0941326839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Columbia University College of Physicians and Surgeons, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Monte Vista Ave
Suite 200
Claremont, CA 91711-6600
Phone (909) 608-7770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100020CAMDOtolaryngology/Facial Plastic Surgery Physician

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1750590188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE",
            "address_2": "SUITE 200",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112962",
            "telephone_number": "909-608-7770",
            "fax_number": "909-931-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE",
            "address_2": "SUITE 200",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917112962",
            "telephone_number": "909-608-7770",
            "fax_number": "909-931-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIPOND",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A100020",
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "A100020",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A100020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.