Organization Active NPI

Modern Aesthetic Institute Inc.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1255923595
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Joseph H Chang, MDNPI 1306959259
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)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.