NPIMap

Organization Active NPI

Santosha Aesthetics, Inc.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1679096150
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13199 Issued in CA
Legal business name
SANTOSHA AESTHETICS, INC.
Practice address
822 S Robertson Blvd Ste 100
Los Angeles, CA 90035-1630
Phone
(310) 651-6937
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Dr. Joseph Enayati, DONPI 1134454226
Title
Medical Director
Phone
(310) 651-6937

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 13199 CA Primary

Addresses

Primary practice location

822 S Robertson Blvd Ste 100
Los Angeles, CA 90035-1630

Mailing address

118 S Clark Dr Apt 104
West Hollywood, CA 90048-3275

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1679096150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S CLARK DR APT 104",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900483275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351630",
            "telephone_number": "310-651-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOSHA AESTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "ENAYATI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-651-6937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "13199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.