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Gemini Plastic Surgery Associates

NPI 1356938948ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Rancho Cucamonga, CA

Surgery, Plastic and Reconstructive Surgery in Rancho Cucamonga, California, registered in NPPES in December 2020. The authorized official on file is Gemini Plastic Surgery, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1356938948
StatusActive
Entity typeOrganization
NPI issuedDec 29, 2020
Last updated in NPPESApr 29, 2025
Certified by providerApr 29, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Plastic and Reconstructive Surgery Primary2086S0122X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (CA)

Medicare sources and data years

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