Active NPI
Modern Aesthetic Institute Inc.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Legal business name
- MODERN AESTHETIC INSTITUTE INC.
- Practice address
- 5301 Truxtun Ave Ste 200
Bakersfield, CA 93309-0743 - Phone
- (805) 565-5700
- NPI assigned
- Feb 8, 2021
- Last updated
- Feb 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph H Chang, MD
- Title
- President
- Phone
- (805) 565-5700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | Primary |
Addresses
Primary practice location
5301 Truxtun Ave Ste 200
Bakersfield, CA 93309-0743
Mailing address
PO Box 2029
Bakersfield, CA 93303-2029
Phone (805) 565-5700
National Provider Directory
National Provider DirectoryLocations
4000 Empire Dr
Ste 300
Bakersfield, CA 93309
Phone (661) 636-6900
Practitioners & affiliated clinicians
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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Bakersfield, CA
- NPI 1306959259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612742400000",
"number": "1255923595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2029",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933032029",
"telephone_number": "805-565-5700",
"fax_number": "661-335-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 TRUXTUN AVE STE 200",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090743",
"telephone_number": "805-565-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MODERN AESTHETIC INSTITUTE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-08",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A",
"authorized_official_last_name": "CHANG",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-565-5700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207WX0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"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 Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.