The Visage of Beauty LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE VISAGE OF BEAUTY LLC

Practice address

945 Town Centre Dr Ste B
Medford, OR 97504-6190

Phone

(561) 381-1704

NPI assigned

Apr 20, 2026

Organization subpart

No

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

Authorized official

Name

Cesar PonceNPI 1417601949

Title

Manager

Phone

(561) 381-1704

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cesar Ponce

  • Adult Psychiatric/Mental Health Registered Nurse
  • Santa Cruz, CA
  • NPI 1417601949
  NPD Authorized official

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1154265197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 TOWN CENTRE DR STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046190",
            "telephone_number": "561-381-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 TOWN CENTRE DR STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046190",
            "telephone_number": "561-381-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VISAGE OF BEAUTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-19",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-381-1704"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• James William Theen, MD
• Laurie L. Theodorou, LCSW
• Therapeutic Associates Inc (TAI Medford Physical Therapy)
• Therapeutic Associates Inc
• Therapeutic Laser Center

• Family Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.