Aisthetikos, Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A84857 Issued in CA

Legal business name

AISTHETIKOS, INC

Practice address

1501 Superior Avenue
Suite 303
Newport Beach, CA 92663-3641

Phone

(949) 642-7600

Fax

(949) 642-7606

NPI assigned

Jul 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Marie Smith, M.D.NPI 1558543421

Title

Ceo/Principal

Phone

(949) 642-7600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Melissa Marie Smith, M.D.

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1558543421

  CA, Plastic Surgery

  Medicare reassignment NPD Authorized official
• David Y Kim, PA-C

  • Physician Assistant
  • Glendora, CA
  • NPI 1922035948

  CA

  Medicare reassignment
• Elena Rina Summerlin, PA-C

  • Medical Physician Assistant
  • San Diego, CA
  • NPI 1740414838

  CA

  Medicare reassignment
• Macy Akiyo Matsukawa, PA-C

  • Physician Assistant
  • Duarte, CA
  • NPI 1982487310
  NPD (past)
• David L Wirta, MD

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1255435822
  NPD (past)

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1295965440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVENUE",
            "address_2": "SUITE 303",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641",
            "telephone_number": "949-642-7600",
            "fax_number": "949-642-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVENUE",
            "address_2": "SUITE 303",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641",
            "telephone_number": "949-642-7600",
            "fax_number": "949-642-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AISTHETIKOS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO/PRINCIPAL",
        "authorized_official_telephone_number": "949-642-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A84857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soo Ahn
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• Rena Ahuja, M.D.
• Rachel Leigh Airth, LMFT
• Evelyn Avivit Aizenberg, MFC
• Jasmine Ajtun
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• Lubna Akbany, RD
• Akhavan Dental Corporation

• All providers in Newport Beach, CA
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.