Organization Active NPI

Beyond Beauty Medical Spa Inc

  • General Practice Physician
  • Newport Beach, CA
National Provider Identifier
1053186619
Registry record updated Nov 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BEYOND BEAUTY MEDICAL SPA INC
Practice address
4700 Von Karman Ave Ste 102
Newport Beach, CA 92660-2194
Phone
(949) 203-3434
NPI assigned
Nov 23, 2023
Last updated
Nov 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2023

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

Authorized official

Name
Estela Camacho
Title
Office Manager
Phone
(661) 979-8895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

4700 Von Karman Ave Ste 102
Newport Beach, CA 92660-2194

Mailing address

4700 Von Karman Ave Ste 102
Newport Beach, CA 92660-2194
Phone (949) 203-3434

National Provider Directory

National Provider Directory

Locations

4700 Von Karman Ave
Ste 102
Newport Beach, CA 92660
Phone (949) 743-1457

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": "1700697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700697600000",
    "number": "1053186619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 VON KARMAN AVE STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602194",
            "telephone_number": "949-203-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 VON KARMAN AVE STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602194",
            "telephone_number": "949-203-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND BEAUTY MEDICAL SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-23",
        "last_updated": "2023-11-23",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "ESTELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "661-979-8895"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; 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.