Organization Active NPI

Beautologie Fresno, Inc

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
National Provider Identifier
1093471948
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BEAUTOLOGIE FRESNO, INC
Practice address
9491 N Fort Washington Rd # 101
Fresno, CA 93730-0660
Phone
(661) 327-3800
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Darshan Shah, MD
Title
Founder
Phone
(661) 327-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

9491 N Fort Washington Rd # 101
Fresno, CA 93730-0660

Mailing address

9491 N Fort Washington Rd # 101
Fresno, CA 93730-0660

National Provider Directory

National Provider Directory

Locations

9491 N Fort Washington Rd
#101
Fresno, CA 93730
Phone (661) 327-3800

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1093471948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9491 N FORT WASHINGTON RD # 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937300660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9491 N FORT WASHINGTON RD # 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937300660",
            "telephone_number": "661-327-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTOLOGIE FRESNO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DARSHAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "661-327-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.