PLASTIC SURGERY GROUP, A MEDICAL CORPORATION
NPI 1689097883
Specialist in Corona Del Mar, CA

Q: What is Plastic Surgery Group, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 24, 2014

1101 BAYSIDE DR, SUITE 100, CORONA DEL MAR, CA 92625(949) 718-6900 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Plastic Surgery Group, A Medical Corporation NPPES

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

PLASTIC SURGERY GROUP, A MEDICAL CORPORATION (NPI 1689097883) is a healthcare organization registered as a specialist in Corona Del Mar, California and active in the NPI registry since January 2014. The organization lists Devon Niccole, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689097883

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePLASTIC SURGERY GROUP, A MEDICAL CORPORATION

Location Address1101 BAYSIDE DR, SUITE 100Corona Del Mar, CA 92625-1702

Mailing Address1101 Bayside Dr, Suite 100Corona Del Mar, CA 92625-1702 · (949) 718-6900

Phone(949) 718-6900

Organization SubpartNo

Authorized OfficialDevon NiccoleCeo · (949) 718-6900

Enumeration DateJanuary 24, 2014

✔ NPI 1689097883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A30397

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1101 BAYSIDE DR, Corona Del Mar, CA 92625

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Other Identifiers 1

Medicare UPINA26098CA

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 5

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

SOUTH COAST OUTPATIENT SURG CTR BALBOA SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

1101 BAYSIDE DR, SUITE 101
CORONA DEL MAR, CA 92625

Orange County (949) 718-6900

MICHAEL W. NICCOLE, MD, INC.

Specialist

1101 BAYSIDE DR, SUITE 100
CORONA DEL MAR, CA 92625

Orange County (949) 718-6900

HANS JORG ROSLER MD LLC

Pain Medicine (Pain Medicine)

1101 BAYSIDE DR, SUITE 100
CORONA DEL MAR, CA 92625

Orange County (702) 357-8004

KATHERINE MACBARRON

Physician Assistant

1101 BAYSIDE DR
CORONA DEL MAR, CA 92625

Orange County (949) 718-6900

DR. STEPHEN SUTHERLAND M.D.

Surgery (Plastic and Reconstructive Surgery)

1101 BAYSIDE DR, STE. 100
CORONA DEL MAR, CA 92625

Orange County (949) 718-6900

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 Group, A Medical Corporation's NPI number?

The NPI number for Plastic Surgery Group, A Medical Corporation is 1689097883. It was assigned to this organization in the NPPES registry on January 24, 2014.

Where is Plastic Surgery Group, A Medical Corporation located?

Plastic Surgery Group, A Medical Corporation is located at 1101 Bayside Dr Suite 100, Corona Del Mar, CA 92625. The listed phone number is (949) 718-6900.

What is Plastic Surgery Group, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Plastic Surgery Group, A Medical Corporation was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.