Active NPI
Desired Reflection Permanent Cosmetics & Aesthetics, LLC
- Contractor
- Redding, CA
National Provider Identifier
1316631559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Legal business name
- DESIRED REFLECTION PERMANENT COSMETICS & AESTHETICS, LLC
- Doing business as
- Desired Reflection Certified Paramedical Artist
- Practice address
- 3404 Bechelli LN Ste E
Redding, CA 96002-2468 - Phone
- (530) 255-8550
- NPI assigned
- Jun 8, 2023
- 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
- Erica Murphy
- Title
- Owner
- Phone
- (530) 255-8550
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
3404 Bechelli LN Ste E
Redding, CA 96002-2468
Mailing address
2232 Adirondack Dr
Redding, CA 96001-5931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477247005 | Other | CA | PROVIDER INDIVIDUAL NPI |
Other names 1
- Desired Reflection Certified Paramedical Artist
National Provider Directory
National Provider DirectoryLocations
3404 Bechelli Ln
Ste E
Redding, CA 96002
Phone (530) 255-8550
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": "1686182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1316631559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 ADIRONDACK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960015931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404 BECHELLI LN STE E",
"city": "REDDING",
"state": "CA",
"postal_code": "960022468",
"telephone_number": "530-255-8550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESIRED REFLECTION PERMANENT COSMETICS & AESTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-08",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-255-8550"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER INDIVIDUAL NPI",
"identifier": "1477247005",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Desired Reflection Certified Paramedical Artist",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Desired Reflection Certified Paramedical Artist",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.