Organization Active NPI

Smooth Aesthetics Inc, a Medical Corp

  • Family Medicine Physician
  • Burbank, CA
National Provider Identifier
1295983450
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A78697 Issued in CA
Legal business name
SMOOTH AESTHETICS INC, A MEDICAL CORP
Practice address
1510 W Verdugo Ave
Ste E
Burbank, CA 91506-2472
Phone
(818) 954-0510
Fax
(818) 954-0419
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Authorized official

Name
Margaret H Fink, RN
Title
Vice-Pres
Phone
(818) 954-0510

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC29743 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A78999 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A78697 CA Primary

Addresses

Primary practice location

1510 W Verdugo Ave
Ste E
Burbank, CA 91506-2472

Mailing address

1510 W Verdugo Ave
Ste E
Burbank, CA 91506-2472
Phone (818) 954-0510

Other names 1

  • Smooth Aesthetics Medical Spa Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1295983450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W VERDUGO AVE",
            "address_2": "STE E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062472",
            "telephone_number": "818-954-0510",
            "fax_number": "818-954-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W VERDUGO AVE",
            "address_2": "STE E",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062472",
            "telephone_number": "818-954-0510",
            "fax_number": "818-954-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOOTH AESTHETICS INC, A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE-PRES",
        "authorized_official_telephone_number": "818-954-0510",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29743",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A78999",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A78697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smooth Aesthetics Medical Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.