Bella Aesthetica, a Professional Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BELLA AESTHETICA, A PROFESSIONAL CORPORATION

Doing business as

Bella Aesthetica MedSpa & Wellness Center

Practice address

625 N Euclid Ave
Ontario, CA 91762-3223

Phone

(909) 984-7500

Fax

(909) 984-7550

NPI assigned

Jul 21, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Linda Koklas

Title

Chief Operating Officer

Phone

(323) 712-4811

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bella Aesthetica MedSpa & Wellness Center Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Ferrin Katarina Ruiz, MD

  • Specialist
  • Montebello, CA
  • NPI 1477998870
  NPD

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1861000317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623223",
            "telephone_number": "909-984-7500",
            "fax_number": "909-984-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623223",
            "telephone_number": "909-984-7500",
            "fax_number": "909-984-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA AESTHETICA, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "KOKLAS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "323-712-4811",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB315364",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "InternalOnly",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "NA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "InternalOnly",
            "address_1": "625 N Euclid Ave",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917623223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bella Aesthetica MedSpa & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Beljean, DMD
• Bell Home Care,Inc.
• Kevin Bell
• Mignon Yvette Bell, LAADC-CA
• Sheriden T'Ayre Bell
• Bella Vista Operating Company Inc
• Vanessa Bellamy
• Mackenzie Lucinda Bello Ponce
• Keith Eric Belton, BCBA-D, LEP
• Guadalupe Beltran Lara

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.