Organization Active NPI

Bella Skin Institute

  • Medical Physician Assistant
  • Calabasas, CA
National Provider Identifier
1679988844
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
51713 Issued in CA
Legal business name
BELLA SKIN INSTITUTE
Practice address
23622 Calabasas Rd Ste 339
Calabasas, CA 91302-1594
Phone
(818) 225-0711
Fax
(818) 225-0127
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Dr. Anna D Guanche, M.D.NPI 1982658761
Title
Doctor
Phone
(818) 225-0117

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
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 51713 CA Primary

Addresses

Primary practice location

23622 Calabasas Rd Ste 339
Calabasas, CA 91302-1594

Mailing address

23622 Calabasas Rd Ste 339
Calabasas, CA 91302-1594
Phone (818) 225-0711

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": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1679988844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD STE 339",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021594",
            "telephone_number": "818-225-0711",
            "fax_number": "818-225-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD STE 339",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021594",
            "telephone_number": "818-225-0711",
            "fax_number": "818-225-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA SKIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "GUANCHE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "818-225-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.