Active NPI
Facebod Medspa PC
Doing business as Facebod Med Spa
- Medical Specialty Clinic/Center
- La Verne, CA
National Provider Identifier
1689579773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- FACEBOD MEDSPA PC
- Doing business as
- Facebod Med Spa
- Practice address
- 2117 Foothill Blvd # 1
La Verne, CA 91750-2902 - Phone
- (909) 755-8741
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- 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
- Dr. Anika Muthiah, MD
- Title
- President
- Phone
- (818) 800-9273
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NU | Primary |
Addresses
Primary practice location
2117 Foothill Blvd # 1
La Verne, CA 91750-2902
Mailing address
2117 Foothill Blvd # 1
La Verne, CA 91750-2902
Phone (909) 755-8741
Other names 1
- FACEBOD MED SPA
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.
-
- Family Medicine Physician
- Claremont, CA
- NPI 1225566656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1689579773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2117 FOOTHILL BLVD # 1",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502902",
"telephone_number": "909-755-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2117 FOOTHILL BLVD # 1",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917502902",
"telephone_number": "909-755-8741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACEBOD MEDSPA PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "MUTHIAH",
"authorized_official_first_name": "ANIKA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-800-9273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FACEBOD MED SPA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.