Active NPI
Beautiful Skin Essentials Inc
- Family Nurse Practitioner
- Moreno Valley, CA
National Provider Identifier
1316292741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11282
- Legal business name
- BEAUTIFUL SKIN ESSENTIALS INC
- Doing business as
- BSE Inc
- Practice address
- 16420 Perris Blvd
Suite #L
Moreno Valley, CA 92551-1135 - Phone
- (424) 703-3767
- Fax
- (310) 539-5722
- NPI assigned
- Jul 23, 2012
- 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
- Mr. Ernest Z Mozia, LVN,BS-BUSI. MGT.
- Title
- Administrator
- Phone
- (800) 539-5980
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | CA | ||
| Licensed Vocational Nurse | 164X00000X | CA | ||
| Family Nurse Practitioner | 363LF0000X | 11282 | CA | Primary |
Addresses
Primary practice location
16420 Perris Blvd
Suite #L
Moreno Valley, CA 92551-1135
Mailing address
1611 Crenshaw Blvd
Suite 224
Torrance, CA 90501-3123
Phone (800) 539-5980
Other names 1
- BSE Inc
National Provider Directory
National Provider DirectoryLocations
16420 Perris Blvd
Ste L
Moreno Valley, CA 92551
Phone (424) 703-3767
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Pinedale, CA
- NPI 1225186133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475798400000",
"number": "1316292741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 CRENSHAW BLVD",
"address_2": "SUITE 224",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905013123",
"telephone_number": "800-539-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16420 PERRIS BLVD",
"address_2": "SUITE #L",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925511135",
"telephone_number": "424-703-3767",
"fax_number": "310-539-5722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUTIFUL SKIN ESSENTIALS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-23",
"last_updated": "2016-10-07",
"status": "A",
"authorized_official_last_name": "MOZIA",
"authorized_official_first_name": "ERNEST",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "800-539-5980",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LVN,BS-BUSI. MGT."
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "11282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BSE Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.