Organization Active NPI

Aveva Medical Aesthetics Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Ana, CA
National Provider Identifier
1760013536
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
AVEVA MEDICAL AESTHETICS INC.
Practice address
4702 W 1St St Ste C
Santa Ana, CA 92703-3100
Phone
(714) 553-9775
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Dr. Rahil Khan
Title
Owner
Phone
(714) 553-9775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

4702 W 1St St Ste C
Santa Ana, CA 92703-3100

Mailing address

4702 W 1St St Ste C
Santa Ana, CA 92703-3100
Phone (714) 553-9775

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.

Locations

4702 W 1st St
Ste C
Santa Ana, CA 92703
Phone (657) 245-3345

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1760013536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 W 1ST ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033100",
            "telephone_number": "714-553-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 W 1ST ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033100",
            "telephone_number": "714-553-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVEVA MEDICAL AESTHETICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "RAHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-553-9775",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.