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J S VINCENT MEDICAL GROUP LLC
NPI 1164021598
Plastic Surgery - Plastic Surgery Within the Head and Neck in Los Angeles, CA

Active since October 17, 2020
3111 LOS FELIZ BLVD STE 103, LOS ANGELES, CA 90039(770) 895-8483 Get Directions Write a Review

NPPES record last updated: October 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About J S Vincent Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

J S VINCENT MEDICAL GROUP LLC (NPI 1164021598) is a healthcare organization registered as a plastic surgery within the head and neck in Los Angeles, California and active in the NPI registry since October 2020. The organization lists John Butora, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1164021598
Entity TypeOrganization
Primary Taxonomy2082S0099X
Legal Business NameJ S VINCENT MEDICAL GROUP LLC
Location Address3111 LOS FELIZ BLVD STE 103Los Angeles, CA 90039-1599
Mailing Address3111 Los Feliz Blvd Ste 103Los Angeles, CA 90039-1599 · (770) 895-8483
Phone(770) 895-8483
Organization SubpartNo
Authorized OfficialJohn ButoraBilling Manager · (562) 787-0225
Enumeration DateOctober 17, 2020
Last NPPES UpdateOctober 18, 2020
NPPES CertifiedOctober 18, 2020
✔ NPI 1164021598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
3111 LOS FELIZ BLVD STE 103, Los Angeles, CA 90039
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH L DINGLASAN SR MD INC.
Clinic/Center (Multi-Specialty)
3111 LOS FELIZ BLVD STE 103
LOS ANGELES, CA 90039
Los Angeles County (909) 723-0057
SCANNING TREND, INC
Plastic Surgery (Plastic Surgery Within the Head and Neck)
3111 LOS FELIZ BLVD STE 103
LOS ANGELES, CA 90039
Los Angeles County (770) 895-8483

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J S Vincent Medical Group LLC's NPI number?

The NPI number for J S Vincent Medical Group LLC is 1164021598. It was assigned to this organization in the NPPES registry on October 17, 2020.

Where is J S Vincent Medical Group LLC located?

J S Vincent Medical Group LLC is located at 3111 Los Feliz Blvd Ste 103, Los Angeles, CA 90039. The listed phone number is (770) 895-8483.

What is J S Vincent Medical Group LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

When was this NPI record last updated?

The NPPES record for J S Vincent Medical Group LLC was last updated on October 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.