Organization Active NPI

Opal Aesthetics

  • Family Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1093540353
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPAL AESTHETICS
Practice address
3250 Coffee Rd Ste 15
Bakersfield, CA 93308-5244
Phone
(661) 331-9244
NPI assigned
Sep 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Ariana Marie Lundquist, MD
Title
MD/Ceo
Phone
(714) 408-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3250 Coffee Rd Ste 15
Bakersfield, CA 93308-5244

Mailing address

8925 Quail Cove CT
Bakersfield, CA 93314-9730
Phone (661) 331-9244

National Provider Directory

National Provider Directory

Locations

3250 Coffee Rd
Ste 15
Bakersfield, CA 93308
Phone (661) 331-9244

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": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1093540353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 QUAIL COVE CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933149730",
            "telephone_number": "661-331-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 COFFEE RD STE 15",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085244",
            "telephone_number": "661-331-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "714-408-6163",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.