Organization Active NPI

Anew Aesthetics by Physician Assistants, Inc.

  • Procedural Dermatology Physician
  • Los Osos, CA
National Provider Identifier
1023872934
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
Legal business name
ANEW AESTHETICS BY PHYSICIAN ASSISTANTS, INC.
Practice address
2280 Sunset Dr Unit Eee
Los Osos, CA 93402-4007
Phone
(805) 409-4236
NPI assigned
Feb 12, 2024
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Nicole Valasek, PA-CNPI 1063011617
Title
Owner
Phone
(805) 409-4236

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X Primary

Addresses

Primary practice location

2280 Sunset Dr Unit Eee
Los Osos, CA 93402-4007

Mailing address

105 Joyce Way
Pismo Beach, CA 93449-3206
Phone (214) 732-1143

Other names 1

  • Anew Aesthetics by Physician Assistants, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

2280 Sunset Dr
Unit Eee
Los Osos, CA 93402
Phone (805) 409-4236

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1023872934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 JOYCE WAY",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493206",
            "telephone_number": "214-732-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 SUNSET DR UNIT EEE",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934024007",
            "telephone_number": "805-409-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW AESTHETICS BY PHYSICIAN ASSISTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "VALASEK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-409-4236",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anew Aesthetics by Physician Assistants, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Osos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.