Active NPI
Xania Darden, COSMETOLOGIST
- Other Specialist/Technologist
- Lake Forest, CA
National Provider Identifier
1063848828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- B87443
- Practice address
- 23331 El Toro Rd
Suite 114
Lake Forest, CA 92630-4891 - Phone
- (949) 215-0994
- NPI assigned
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | B87443 | CA | |
| Other Specialist/Technologist | 246Z00000X | B87443 | CA | Primary |
Addresses
Primary practice location
23331 El Toro Rd
Suite 114
Lake Forest, CA 92630-4891
Mailing address
4 Aventine
Aliso Viejo, CA 92656-4296
Phone (949) 215-0994
Other names 1
- Necie Darden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B87443 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1063848828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 AVENTINE",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926564296",
"telephone_number": "949-215-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23331 EL TORO RD",
"address_2": "SUITE 114",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926304891",
"telephone_number": "949-215-0994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARDEN",
"first_name": "XANIA",
"credential": "COSMETOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "B87443",
"primary": false
},
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "CA",
"license": "B87443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NECIE",
"last_name": "DARDEN",
"credential": "COSMETOLOGIST",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.