Advanced Skincare, a Professional Corp.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ADVANCED SKINCARE, A PROFESSIONAL CORP.

Practice address

2720 N Harbor Blvd
Fullerton, CA 92835-2609

Phone

(714) 879-9936

NPI assigned

Sep 8, 2020

Last updated

Sep 8, 2020By 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

Suzanne Freesemann, PANPI 1285750430

Title

Owner/Physician Assistant

Phone

(714) 879-9936

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, and the practitioner matching its NPPES authorized official.

• Suzanne Freesemann, P.A.

  • Physician Assistant
  • Fullerton, CA
  • NPI 1285750430
  Authorized official Same address or phone

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1154936011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352609",
            "telephone_number": "714-879-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352609",
            "telephone_number": "714-879-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SKINCARE, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "FREESEMANN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "714-879-9936",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Fullerton Imaging, Inc.
• Advanced Healthcare Administration
• Advanced Memorial Imaging Group, a Medical Corporation
• Advanced Skincare Dermatology Inc
• Advanced Skincare Physician Assistant Corporation (Pac)
• After Hours Acupuncture
• Vernon Sanford Agarth Jr., O.D.
• Adina Agent
• Katherynne Marjori Aggabao, RD
• Rafael Agras

• Physician Assistant in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.