Active NPI
Aileen Bablove, PA-C
- Physician Assistant
- Riverside, CA
National Provider Identifier
1356745749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 52040
- Practice address
- 3663 Main St Ste C
Riverside, CA 92501-2866 - Phone
- (949) 245-4477
- NPI assigned
- Oct 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52040 | CA | Primary |
Addresses
Primary practice location
3663 Main St Ste C
Riverside, CA 92501-2866
Mailing address
18181 Joshua LN
Santa Ana, CA 92705-2674
Phone (909) 275-2869
Other practice location 1
4605 Brockton Ave
Ste 200
Riverside, CA 92506-0106
Phone (951) 781-4339
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.aestheticrecord.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1356745749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18181 JOSHUA LN",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927052674",
"telephone_number": "909-275-2869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 MAIN ST STE C",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925012866",
"telephone_number": "949-245-4477"
}
],
"practiceLocations": [
{
"address_1": "4605 Brockton Ave",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925060106",
"country_code": "US",
"telephone_number": "951-781-4339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BABLOVE",
"first_name": "AILEEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52040",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.aestheticrecord.com",
"affiliation": "N",
"address_1": "3663 Main St Ste C",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925012866",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.