Skin Perfect Brea

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SKIN PERFECT BREA

Practice address

910 E Birch St Ste 350
Brea, CA 92821-5848

Phone

(714) 880-7883

NPI assigned

Oct 27, 2021

Organization subpart

No

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

Authorized official

Name

Lori Robertson, FNP-C

Title

Owner/Manager

Phone

(714) 880-7883

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Rio Marie A. Calvert, FNP-C

  • Nurse Practitioner
  • Brea, CA
  • NPI 1083207252
  NPD

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1356005011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E BIRCH ST STE 350",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215848",
            "telephone_number": "714-278-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E BIRCH ST STE 350",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215848",
            "telephone_number": "714-880-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN PERFECT BREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "714-880-7883",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "910 E Birch St Ste 350",
            "city": "Brea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928215848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nurse Practitioner in Brea, CA
• Providers in Brea, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.