Active NPI
You Are Beautiful Surgical Center
- Ambulatory Surgical Clinic/Center
- Fairfax, VA
National Provider Identifier
1801639737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- YOU ARE BEAUTIFUL SURGICAL CENTER
- Practice address
- 10721 Main St Ste 205
Fairfax, VA 22030-6902 - Phone
- (703) 705-2100
- NPI assigned
- Jun 18, 2024
- 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
- Jae Kim, MD
- Title
- Owner
- Phone
- (703) 705-2100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
10721 Main St Ste 205
Fairfax, VA 22030-6902
Mailing address
2200 Wilson Blvd Ste 102-219
Arlington, VA 22201-3397
Other names 1
- Capital Cosmetic Surgery Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Facial Plastic Surgery Physician
- Arlington, VA
- NPI 1609168327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1801639737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 WILSON BLVD STE 102-219",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222013397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10721 MAIN ST STE 205",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306902",
"telephone_number": "703-705-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOU ARE BEAUTIFUL SURGICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-18",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "JAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-705-2100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Capital Cosmetic Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.