Organization Active NPI

Blush Beauty Aesthetics

  • Family Medicine Physician
  • Canyon Lake, CA
National Provider Identifier
1740163450
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLUSH BEAUTY AESTHETICS
Doing business as
Blush Beauty Aesthetics
Practice address
24370 Canyon Lake Dr N Ste 8
Canyon Lake, CA 92587-8041
Phone
(951) 516-1102
NPI assigned
Jul 29, 2025
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Donnae Trabbie, RN
Title
President
Phone
(951) 516-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

24370 Canyon Lake Dr N Ste 8
Canyon Lake, CA 92587-8041

Mailing address

24370 Canyon Lake Dr N Ste 8
Canyon Lake, CA 92587-8041
Phone (951) 516-1102

Other names 1

  • Blush Beauty Aesthetics Doing business as

National Provider Directory

National Provider Directory

Locations

24370 Canyon Lake Dr N
Ste 8
Canyon Lake, CA 92587
Phone (951) 516-1102

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1740163450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24370 CANYON LAKE DR N STE 8",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925878041",
            "telephone_number": "951-516-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24370 CANYON LAKE DR N STE 8",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925878041",
            "telephone_number": "951-516-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUSH BEAUTY AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "TRABBIE",
        "authorized_official_first_name": "DONNAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-516-1102",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blush Beauty Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canyon Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.