Aesthetic Artistry Surgical and Medical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

A63302 Issued in CA

Legal business name

AESTHETIC ARTISTRY SURGICAL AND MEDICAL CENTER LLC

Practice address

1841 Iron Point Rd
Folsom, CA 95630-8838

Phone

(916) 983-9895

Fax

(916) 983-9850

NPI assigned

Nov 25, 2008

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Bowman

Title

Delegated Official

Phone

(208) 559-7417

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Lauren Tracy Daly, M.D.

  • Plastic Surgery Physician
  • Folsom, CA
  • NPI 1699162305
  NPD (past)
• Jennifer Bissonette Ryder, M.D.

  • Anesthesiology Physician
  • Folsom, CA
  • NPI 1558355594
  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1124273685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303546",
            "telephone_number": "916-983-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 IRON POINT RD",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308838",
            "telephone_number": "916-983-9895",
            "fax_number": "916-983-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC ARTISTRY SURGICAL AND MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "208-559-7417"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A63302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Adorjan, PPS
• Murali D. Adusumalli, M.D.
• Advanced Medical Imaging Inc
• Advanced Pain Diagnostic & Solutions, Inc.
• Adventures in Vision Optometry, Professional Corporation
• Aeterna Dynamic Supply LLC
• Fairuz Afram, RPH.
• Manish Sahai Aggarwal, M.D
• Yahav Agranov
• Jasleen Kaur Agroia, NP

• Ambulatory Surgical Clinic/Center in Folsom, CA
• Providers in Folsom, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.