Total Body Aesthetic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

TOTAL BODY AESTHETIC

Practice address

1525 Mesa Verde Dr E Ste 214
Costa Mesa, CA 92626-5219

Phone

(833) 665-2639

NPI assigned

Apr 11, 2019

Organization subpart

No

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

Authorized official

Name

Kindra Ross, LICENSED RN

Title

Owner

Phone

(209) 207-4980

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1215490628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 214",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265219",
            "telephone_number": "562-881-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 MESA VERDE DR E STE 214",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265219",
            "telephone_number": "833-665-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY AESTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KINDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-207-4980",
        "authorized_official_credential": "LICENSED RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilu Meza Torres
• Mykel Richard Torres
• Nancy Torres
• Rachel Torres
• Lynda Totah, MSN FNP
• Tracey Cook
• Chonway Daly Tram, DDS
• Anh Lan Tran, L.AC.
• Catherine Tran
• Claire Tran

• Community Health Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.