Organization Active NPI

Camelia Aesthetics LLC

  • Multi-Specialty Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1376344002
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CAMELIA AESTHETICS LLC
Practice address
1340 Bison Ave
Newport Beach, CA 92660-9071
Phone
(949) 942-1659
NPI assigned
Mar 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Camelia BennaniNPI 1427942150
Title
Ceo
Phone
(949) 942-1659

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1340 Bison Ave
Newport Beach, CA 92660-9071

Mailing address

1340 Bison Ave
Newport Beach, CA 92660-9071

National Provider Directory

National Provider Directory

Locations

1340 Bison Ave
Newport Beach, CA 92660
Phone (949) 449-4096

Practitioners & affiliated clinicians

Practitioners 3

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": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1376344002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BISON AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926609071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BISON AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926609071",
            "telephone_number": "949-942-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELIA AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "BENNANI",
        "authorized_official_first_name": "CAMELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-942-1659"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.