Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IMED SURGICAL OF LA PC
NPI 1619519212
Surgery in Los Angeles, CA

Q: What is Imed Surgical Of La PC's NPI number?

The NPI number for Imed Surgical Of La PC is 1619519212. It was assigned to this organization in the NPPES registry on October 15, 2019. The provider is doing business as Doctor Keloid Scar And Cosmetic Center Of California.

Q: What is Imed Surgical Of La PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since October 15, 2019

8540 S SEPULVEDA BLVD STE 900, LOS ANGELES, CA 90045(323) 287-9273(917) 791-9672 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Sep 18, 2025, Mar 5, 2024 and 1 more (4 updates tracked since 2019).

On this page

About Imed Surgical Of La Pc NPPES

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

IMED SURGICAL OF LA PC (NPI 1619519212), doing business as Doctor Keloid Scar And Cosmetic Center Of California, is a healthcare organization registered as a surgery in Los Angeles, California and active in the NPI registry since October 2019. The organization lists Jennifer R Myers, Clinical Compliance Manager, as its authorized official.

NPPES Registry Identity

NPI1619519212

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameIMED SURGICAL OF LA PC

Location Address8540 S SEPULVEDA BLVD STE 900Los Angeles, CA 90045-3808

Mailing AddressPo Box 1970New York, NY 10156-1970 · (212) 223-0716 · Fax (917) 791-9672

Phone(323) 287-9273

Fax(917) 791-9672

Organization SubpartNo

Authorized OfficialJennifer R MyersClinical Compliance Manager · (212) 223-0716

Enumeration DateOctober 15, 2019

Last NPPES UpdateOctober 7, 20264 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1619519212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

8540 S SEPULVEDA BLVD STE 900, Los Angeles, CA 90045

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Other Names 1

Doing Business AsDoctor Keloid Scar And Cosmetic Center Of California

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imed Surgical Of La Pc 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 Imed Surgical Of La PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Jones, MD

Otolaryngology

NPI 1134297484

113 E 39TH ST
New York, NY 10016

(212) 223-0716

✔ PECOS✔ Accepts Medicare2,463 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 Imed Surgical Of La PC's NPI number?

The NPI number for Imed Surgical Of La PC is 1619519212. It was assigned to this organization in the NPPES registry on October 15, 2019. The provider is doing business as Doctor Keloid Scar And Cosmetic Center Of California.

Where is Imed Surgical Of La PC located?

Imed Surgical Of La PC is located at 8540 S Sepulveda Blvd Ste 900, Los Angeles, CA 90045. The listed phone number is (323) 287-9273.

What is Imed Surgical Of La PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Imed Surgical Of La PC enrolled in Medicare?

Yes. Imed Surgical Of La PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imed Surgical Of La PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Imed Surgical Of La PC. 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 Imed Surgical Of La PC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.