INNOVATIVE PLASTIC & COSMETIC SURGERY INC
NPI 1528239761
Plastic Surgery in San Diego, CA

Q: What is Innovative Plastic & Cosmetic Surgery Inc's specialty?

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

Active since March 16, 2008

6610 FLANDERS DR, SUITE 101, SAN DIEGO, CA 92121(858) 457-2888(888) 347-0124 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Innovative Plastic & Cosmetic Surgery Inc NPPES

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

INNOVATIVE PLASTIC & COSMETIC SURGERY INC (NPI 1528239761) is a healthcare organization registered as a plastic surgery in San Diego, California and active in the NPI registry since March 2008. The organization lists Khang Thai Nguyen, President, as its authorized official.

NPPES Registry Identity

NPI1528239761

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameINNOVATIVE PLASTIC & COSMETIC SURGERY INC

Location Address6610 FLANDERS DR, SUITE 101San Diego, CA 92121-3940

Mailing Address6610 Flanders Dr, Suite 101San Diego, CA 92121-3940 · (858) 457-2888 · Fax (888) 347-0124

Phone(858) 457-2888

Fax(888) 347-0124

Organization SubpartNo

Authorized OfficialKhang Thai NguyenPresident · (858) 457-2888

Enumeration DateMarch 16, 2008

Last NPPES UpdateJuly 21, 2015

✔ NPI 1528239761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A90876

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.

6610 FLANDERS DR, San Diego, CA 92121

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Plastic & Cosmetic Surgery Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Innovative Plastic & Cosmetic Surgery Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Khang Nguyen, MD

Plastic and Reconstructive Surgery

NPI 1265590897

2775 VIA DE LA VALLE 101
Del Mar, CA 92014

(858) 869-7729

✔ PECOS✔ Accepts Medicare6.6 mi

Yan Ortiz-Pomales, M.D.

Plastic and Reconstructive Surgery

NPI 1346448537

34800 BOB WILSON DR
San Diego, CA 92134

(619) 532-6400

✔ PECOS✔ Accepts Medicare12 mi

Andrew Bauder, MD

Plastic and Reconstructive Surgery

NPI 1720433428

34800 BOB WILSON DR STE 1
San Diego, CA 92134

(619) 532-6950

✔ PECOS✔ Accepts Medicare12 mi

Eamon O'reilly, MD

Plastic and Reconstructive Surgery

NPI 1326097932

ONE HOSPITAL DR
Columbia, MO 65212

(573) 882-2277

✔ PECOS✔ Accepts Medicare1,449 mi

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 Innovative Plastic & Cosmetic Surgery Inc's NPI number?

The NPI number for Innovative Plastic & Cosmetic Surgery Inc is 1528239761. It was assigned to this organization in the NPPES registry on March 16, 2008.

Where is Innovative Plastic & Cosmetic Surgery Inc located?

Innovative Plastic & Cosmetic Surgery Inc is located at 6610 Flanders Dr Suite 101, San Diego, CA 92121. The listed phone number is (858) 457-2888.

What is Innovative Plastic & Cosmetic Surgery Inc's specialty?

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

Is Innovative Plastic & Cosmetic Surgery Inc enrolled in Medicare?

Yes. Innovative Plastic & Cosmetic Surgery Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Plastic & Cosmetic Surgery Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Innovative Plastic & Cosmetic Surgery 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Innovative Plastic & Cosmetic Surgery Inc was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.