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Plastic Surgery Group, A Medical Corporation

Specialist in Corona Del Mar, CA · enumerated 2014 · authorized official Devon Niccole, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689097883

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Registry record

Entity type Organization (Type 2)
Legal business name Plastic Surgery Group, A Medical Corporation
Practice address 1101 Bayside Dr, Suite 100, Corona Del Mar, CA, 92625
Enumeration date Jan 24, 2014
Last updated in NPPES Jan 24, 2014

Taxonomy & classification

174400000X Specialist Other Service Providers · License A30397 (CA) Primary

Authorized official

Name Devon Niccole
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Plastic Surgery Group, A Medical Corporation?
Plastic Surgery Group, A Medical Corporation is registered in NPPES as a Specialist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-24.