Organization Active NPI

NV Aesthetics Inc

  • Plastic and Reconstructive Surgery Physician
  • Rancho Mirage, CA
National Provider Identifier
1306549688
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
NV AESTHETICS INC
Practice address
71949 Highway 111 Ste 300
Rancho Mirage, CA 92270-4826
Phone
(310) 248-6250
NPI assigned
Mar 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Dr. Nathaniel Leon Villanueva, MDNPI 1225471477
Title
Ceo
Phone
(310) 248-6250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

71949 Highway 111 Ste 300
Rancho Mirage, CA 92270-4826

Mailing address

3501 Knoll Crest Ave
View Park, CA 90043-1844
Phone (310) 248-6250

Other practice location 1

465 N Roxbury Dr Ste 1007
Beverly Hills, CA 90210-4213
Phone (310) 248-6250

National Provider Directory

National Provider Directory

Locations

465 N Roxbury Dr
Ste 1007
Beverly Hills, CA 90210
Phone (310) 248-6250

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": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1306549688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 KNOLL CREST AVE",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900431844",
            "telephone_number": "310-248-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71949 HIGHWAY 111 STE 300",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704826",
            "telephone_number": "310-248-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 N Roxbury Dr Ste 1007",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104213",
            "country_code": "US",
            "telephone_number": "310-248-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NV AESTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-248-6250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.