Organization Active NPI

Skin Savvy Medical Group Inc.

Doing business as Skin Savvy Medical Spa

  • Oral and Maxillofacial Pathology Dentistry
  • Hermosa Beach, CA
National Provider Identifier
1669206462
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
SKIN SAVVY MEDICAL GROUP INC.
Doing business as
Skin Savvy Medical Spa
Practice address
49 Pier Ave Ste 2a
Hermosa Beach, CA 90254-3776
Phone
(310) 561-5030
NPI assigned
Aug 26, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Mrs. Bree Glantz
Title
VP of Operations
Phone
(805) 630-6124

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X NU Primary
Registered Nurse 163W00000X NU
Medical Physician Assistant 363AM0700X NU
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

49 Pier Ave Ste 2a
Hermosa Beach, CA 90254-3776

Mailing address

860 Hampshire Rd Ste I
Westlake Village, CA 91361-6019
Phone (805) 630-6124

Other names 1

  • Skin Savvy Medical Spa Doing business as

National Provider Directory

National Provider Directory

Locations

49 Pier Ave
Ste 2A
Hermosa Beach, CA 90254
Phone (310) 561-5030

860 Hampshire Rd
Ste I
Westlake Village, CA 91361
Phone (805) 358-1222

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1669206462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HAMPSHIRE RD STE I",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913616019",
            "telephone_number": "805-630-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PIER AVE STE 2A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543776",
            "telephone_number": "310-561-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN SAVVY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "GLANTZ",
        "authorized_official_first_name": "BREE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "805-630-6124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Savvy Medical Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.