Organization Active NPI

Beautiful Skin Essentials Inc

  • Family Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1316292741
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11282 Issued in CA
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

Updated by the provider on Oct 7, 2016

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)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X CA
Licensed Vocational NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164X00000X CA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.