Organization Active NPI

California Aesthetic Center a Medical Corporation

  • Plastic Surgery Physician
  • Huntington Beach, CA
National Provider Identifier
1043264534
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
CALIFORNIA AESTHETIC CENTER A MEDICAL CORPORATION
Practice address
17742 Beach Blvd
Suite 335
Huntington Beach, CA 92647-6818
Phone
(714) 848-1133
Fax
(714) 848-4114
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Dr. Steve Thuan Vu, M.DNPI 1225081953
Title
Owner
Phone
(714) 848-1133

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

17742 Beach Blvd
Suite 335
Huntington Beach, CA 92647-6818

Mailing address

17742 Beach Blvd
Suite 335
Huntington Beach, CA 92647-6818
Phone (714) 848-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060823000648 CA Part B Supplier - Clinic/Group Practice 9032112438 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA
O20160118000499 CA Part B Supplier - Clinic/Group Practice 9032112438 Receives reassigned benefits from 1 practitioner
Practice locations: Hemet, CA

National Provider Directory

National Provider Directory

Locations

1820 Fullerton Ave
Ste 360
Corona, CA 92881
Phone (951) 270-4494

900 S Main St
Ste 100
Corona, CA 92882
Phone (951) 738-8383

17742 Beach Blvd
Ste 335
Huntington Beach, CA 92647
Phone (714) 790-1378

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1043264534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "SUITE 335",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-848-1133",
            "fax_number": "714-848-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "SUITE 335",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-848-1133",
            "fax_number": "714-848-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA AESTHETIC CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "THUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-848-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.