NPIMap

Organization Active NPI

Sublime Medical Aesthetics

  • Internal Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1386897858
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A100261 Issued in CA
Legal business name
SUBLIME MEDICAL AESTHETICS
Practice address
26342 Oso Pkwy
Suite 204
Mission Viejo, CA 92691-5645
Phone
(949) 367-1115
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. Ronnie Nathan Dawood, MDNPI 1851593065
Title
Owner
Phone
(951) 367-1115

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A100261 CA Primary

Addresses

Primary practice location

26342 Oso Pkwy
Suite 204
Mission Viejo, CA 92691-5645

Mailing address

26342 Oso Pkwy
Suite 204
Mission Viejo, CA 92691-5645
Phone (949) 367-1115

National Provider Directory

National Provider Directory

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1386897858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26342 OSO PKWY",
            "address_2": "SUITE 204",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915645",
            "telephone_number": "949-367-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26342 OSO PKWY",
            "address_2": "SUITE 204",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915645",
            "telephone_number": "949-367-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIME MEDICAL AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "DAWOOD",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-367-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.