PLASTIC SURGERY SO CAL MEDICAL GROUP, INC.
NPI 1609178961
Surgery - Plastic and Reconstructive Surgery in Claremont, CA

Q: What is Plastic Surgery So Cal Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since November 18, 2010

250 W 1ST ST STE 116, CLAREMONT, CA 91711(909) 624-4440(909) 624-4448 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2018, Jul 3, 2018 (2 updates tracked since 2018).

On this page

About Plastic Surgery So Cal Medical Group, Inc. NPPES

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

PLASTIC SURGERY SO CAL MEDICAL GROUP, INC. (NPI 1609178961), doing business as Devdas Wali, Md, is a healthcare organization registered as a plastic and reconstructive surgery in Claremont, California and active in the NPI registry since November 2010. The organization maintains a secondary practice location in Pomona and lists Devdas Wali, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609178961

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NamePLASTIC SURGERY SO CAL MEDICAL GROUP, INC.

Location Address250 W 1ST ST STE 116Claremont, CA 91711

Mailing Address250 W 1st St Ste 116Claremont, CA 91711-4740 · (909) 624-4440 · Fax (909) 624-4448

Phone(909) 624-4440

Fax(909) 624-4448

Organization SubpartNo

Authorized OfficialDevdas WaliCeo · (323) 481-8430

Enumeration DateNovember 18, 2010

Last NPPES UpdateNovember 20, 20182 updates tracked since enumeration

✔ NPI 1609178961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in CA · A78108

Definition

A surgeon who specializes in plastic and reconstructive surgery.

250 W 1ST ST STE 116, Claremont, CA 91711

Open in Google Maps ↗

Other Names 1

Former Legal Business NameDevdas Wali, Md

Secondary Practice Location 1

Location 1350 Vinton Ave, SUITE 102Pomona, CA 91767-3000 · Phone (909) 865-0400

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

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 Plastic Surgery So Cal Medical Group, Inc.'s NPI number?

The NPI number for Plastic Surgery So Cal Medical Group, Inc. is 1609178961. It was assigned to this organization in the NPPES registry on November 18, 2010. The provider was formerly known as Devdas Wali, MD.

Where is Plastic Surgery So Cal Medical Group, Inc. located?

Plastic Surgery So Cal Medical Group, Inc. is located at 250 W 1st St Ste 116, Claremont, CA 91711. The listed phone number is (909) 624-4440.

What is Plastic Surgery So Cal Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Plastic Surgery So Cal Medical Group, Inc. was last updated on November 20, 2018. 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.