Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Plastic & Reconstructive Surgery Associates Med Grp Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1578689592

Plastic & Reconstructive Surgery Associates Med Grp Inc provides Plastic and Reconstructive Surgery Physician services in San Jose, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2581 Samaritan Dr Ste 102
San Jose, CA 95124-4113 Not confirmed with CMS for 11 years — call before visiting
Phone: (408) 356-4241
Fax: (402) 356-4924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 00G591810 (CA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence E27409 (CA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence A27409 (CA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 00G485880 (CA)

Record details

NPI number1578689592
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vincent Lepore — President · (408) 356-4241
NPI enumeratedMarch 21, 2007
Last updated in NPPESOctober 28, 2014
Mailing address2581 Samaritan Dr Ste 102, San Jose, CA 95124-4112

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