Rella Aesthetics, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RELLA AESTHETICS, INC

Practice address

542 Main St
Vacaville, CA 95688-3912

Phone

(707) 358-2928

NPI assigned

Jan 1, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Wagner, DONPI 1184282188

Title

Owner

Phone

(707) 358-2928

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zachary Wagner, DO

  • Family Medicine Physician
  • Fairfield, CA
  • NPI 1184282188
  NPD Authorized official
• Warda Harchaoui

  • Physician Assistant
  • Vacaville, CA
  • NPI 1558245688
  NPD (past)

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1841069812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 MAIN ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 MAIN ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883912",
            "telephone_number": "707-358-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELLA AESTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-31",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-358-2928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Reeves
• Reeves, DDS and Lavalley, DDS, a Dental Corporation (Kids Care Dental & Orthodontics - Vacaville)
• Regional Diagnostic Imaging
• Alexandra Peterson Reimer, PT, DPT
• Damoon Rejaei, MD
• Rem Medical (Jeff Hunt)
• Rem Senior Day Program
• Rem Senior Day Program
• Rem Sleep Diagnostics Vacaville, Inc.
• Dominique Nicole Remaker, PHD

• Clinic/Center in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.

Verify at the official NPI Registry.