Plastic & Reconstructive Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2875 Issued in CA

Legal business name

PLASTIC & RECONSTRUCTIVE SURGERY CENTER

Practice address

2581 Samaritan Dr Ste 102
San Jose, CA 95124-4112

Phone

(408) 356-4962

Fax

(408) 356-4924

NPI assigned

Feb 12, 2007

Last updated

Mar 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Donald Lepore, M.D.NPI 1356389241

Title

Cfo

Phone

(408) 356-4962

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Donald Lepore Jr.

  • Plastic and Reconstructive Surgery Physician
  • San Jose, CA
  • NPI 1356389241
  NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1891837415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244112",
            "telephone_number": "408-356-4962",
            "fax_number": "408-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 SAMARITAN DR STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244112",
            "telephone_number": "408-356-4962",
            "fax_number": "408-356-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC & RECONSTRUCTIVE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "LEPORE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "408-356-4962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "2875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood Mar Monte, Inc
• Planned Parenthood Mar Monte, Inc. (Mar Monte Community Clinic)
• Alexis Plascencia
• Plastic & Reconstructive Surgery Associates
• Plastic & Reconstructive Surgery Associates Med GRP Inc
• Collin Edward Plata
• Kaitlyn Plata
• Jackeline Platero Osorio
• Adrienne Plaza, IBCLC
• Madison Tyler Plazola

• Ambulatory Surgical Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.