NPIMap

Organization Active NPI

Aveva Medical Aesthetics Inc

  • Pain Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1730875436
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
AVEVA MEDICAL AESTHETICS INC
Practice address
12555 Garden Grove Blvd.
Suite 506
Garden Grove, CA 92843
Phone
(714) 462-6014
Fax
(714) 462-6165
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Arlen David Green, D.O.
Title
Ceo
Phone
(714) 462-6014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

12555 Garden Grove Blvd.
Suite 506
Garden Grove, CA 92843

Mailing address

12555 Garden Grove Blvd.
Suite 506
Garden Grove, CA 92843
Phone (714) 462-6014

Other names 1

  • One Health Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aveva Medical Aesthetics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1730875436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD.",
            "address_2": "SUITE 506",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-462-6014",
            "fax_number": "714-462-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD.",
            "address_2": "SUITE 506",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-462-6014",
            "fax_number": "714-462-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEVA MEDICAL AESTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ARLEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-462-6014",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Health Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.