Organization provider

BLUE PACIFIC AESTHETIC MEDICAL GROUP

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

BLUE PACIFIC AESTHETIC MEDICAL GROUP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124074059, based in Hermosa Beach, CA. It is classified under Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician.

Getting there

The practice address on file is 415 PIER AVE, Hermosa Beach, CA 90254. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

415 PIER AVE, Hermosa Beach, CA 90254 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
FNP27928 CA Plastic Surgery Within the Head and Neck… primary

This provider holds licence FNP27928 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Plastic Surgery Within the Head and Neck covers

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. NUCC Health Care Provider Taxonomy, code 2082S0099X
Allopathic & Osteopathic Physicians Plastic Surgery Plastic Surgery Within the Head and Neck

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1124074059 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 25, 2006
Last updatedMay 4, 2010
StatusActive
Practice address 415 PIER AVE
Hermosa Beach, CA 90254
(310) 379-6074
Mailing address 210 N TUSTIN AVE
Santa Ana, CA 92705
This record was last updated on May 4, 2010, roughly 16 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1124074059 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 0 7 4 0 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 0 7 8 0 1

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124074059?
NPI 1124074059 is the National Provider Identifier assigned to BLUE PACIFIC AESTHETIC MEDICAL GROUP in Hermosa Beach, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic Surgery Within the Head and Neck cover?
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide…
How do I contact BLUE PACIFIC AESTHETIC MEDICAL GROUP?
The phone number on file with NPPES is (310) 379-6074, last updated May 4, 2010. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1124074059 a valid number?
Yes. 1124074059 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.