Bruce V Lattyak M.D., Inc.
NPI 1275707424ActiveOrganization· Plastic Surgery· Grass Valley, CA
Plastic Surgery in Grass Valley, California, registered in NPPES in April 2008. The authorized official on file is Bruce V. Lattyak, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1275707424 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2008 |
| Last updated in NPPES | Aug 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | A62583 | CA |
| Otolaryngology | 207Y00000X | A62583 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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