BRUCE V LATTYAK M.D., INC.
NPI 1275707424
Plastic Surgery in Grass Valley, CA

Q: What is Bruce V Lattyak M.D., Inc.'s NPI number?

The NPI number for Bruce V Lattyak M.D., Inc. is 1275707424. It was assigned to this organization in the NPPES registry on April 18, 2008.

Q: What is Bruce V Lattyak M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since April 18, 2008

300 SIERRA COLLEGE DR STE 240, GRASS VALLEY, CA 95945(530) 273-3400(530) 274-3400 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bruce V Lattyak M.d., Inc. NPPES

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

BRUCE V LATTYAK M.D., INC. (NPI 1275707424) is a healthcare organization registered as a plastic surgery in Grass Valley, California and active in the NPI registry since April 2008. The organization maintains a secondary practice location in Grass Valley and lists Bruce V Lattyak, Owner, as its authorized official.

NPPES Registry Identity

NPI1275707424

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameBRUCE V LATTYAK M.D., INC.

Location Address300 SIERRA COLLEGE DR STE 240Grass Valley, CA 95945-5086

Mailing Address300 Sierra College Dr Ste 240Grass Valley, CA 95945-5086 · (530) 273-3400 · Fax (530) 274-3400

Phone(530) 273-3400

Fax(530) 274-3400

Organization SubpartNo

Authorized OfficialBruce V LattyakOwner · (530) 477-1199

Enumeration DateApril 18, 2008

Last NPPES UpdateAugust 29, 2019

✔ NPI 1275707424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A62583

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License A62583 (CA)

300 SIERRA COLLEGE DR STE 240, Grass Valley, CA 95945

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Secondary Practice Location 1

Location 1280 Sierra College Drive, Suite 105Grass Valley, CA 95945 · Phone (530) 273-3400 · Fax (530) 274-3400

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce V Lattyak M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bruce V Lattyak M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Lattyak, M.D.

Plastic and Reconstructive Surgery

NPI 1629245238

300 SIERRA COLLEGE DR STE 240
Grass Valley, CA 95945

(530) 273-3400

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bruce V Lattyak M.D., Inc.'s NPI number?

The NPI number for Bruce V Lattyak M.D., Inc. is 1275707424. It was assigned to this organization in the NPPES registry on April 18, 2008.

Where is Bruce V Lattyak M.D., Inc. located?

Bruce V Lattyak M.D., Inc. is located at 300 Sierra College Dr Ste 240, Grass Valley, CA 95945. The listed phone number is (530) 273-3400.

What is Bruce V Lattyak M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Bruce V Lattyak M.D., Inc. enrolled in Medicare?

Yes. Bruce V Lattyak M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bruce V Lattyak M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Bruce V Lattyak M.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bruce V Lattyak M.D., Inc. was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.