Active NPI
Elite Aesthetics & Dermatology Inc
- Family Nurse Practitioner
- Bakersfield, CA
National Provider Identifier
1669177192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ELITE AESTHETICS & DERMATOLOGY INC
- Practice address
- 3409 Calloway Dr Unit 602
Bakersfield, CA 93312-2534 - Phone
- (661) 218-9923
- NPI assigned
- Apr 3, 2023
- Last updated
- Apr 27, 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
- Jennifer Tougas-Genova, FNP-C
- Title
- Nurse Practitioner
- Phone
- (413) 519-5594
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3409 Calloway Dr Unit 602
Bakersfield, CA 93312-2534
Mailing address
3409 Calloway Dr Unit 602
Bakersfield, CA 93312-2534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Bakersfield, CA
- NPI 1952992539
-
- Nurse Practitioner
- Bakersfield, CA
- NPI 1003549544
-
- Family Nurse Practitioner
- Bakersfield, CA
- NPI 1427432293
-
- Nurse Practitioner
- Bakersfield, CA
- NPI 1508758814
-
- Plastic Surgery Physician
- Visalia, CA
- NPI 1013913698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1669177192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 CALLOWAY DR UNIT 602",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 CALLOWAY DR UNIT 602",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933122534",
"telephone_number": "661-218-9923"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE AESTHETICS & DERMATOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "TOUGAS-GENOVA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "413-519-5594",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
- Jason R Elias, PT
- Jeanette Elias
- Liza May Labay Elido-Florendo, M.D.
- Linda Marie Elieff, MA CCC SLP
- Mark Elieff, PTA, MSA
- Elite Non Emergency Transport
- Elite Transit Transportation
- Elite Women Health a Professional Medical Corporation
- Elizabeth Rogers Licensed Marriage and Family Therapy, Inc. (Somatic Depthwork)
- Elizabeth Swida Skillen, DC, a Chiropractic Corp. (Neck and Back Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.