I.B. Medical Aesthetiques & Wellness PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

I.B. MEDICAL AESTHETIQUES & WELLNESS PC

Practice address

1555 Palm Ave Ste J2
San Diego, CA 92154-1012

Phone

(619) 490-3112

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Amelia M. Buenvenida, DNPNPI 1154777639

Title

Owner

Phone

(619) 201-3858

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.

• Amelia Buenvenida, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1154777639
  NPD Authorized official
• Jeniffer Santos Labog, FNP

  • Family Nurse Practitioner
  • Encinitas, CA
  • NPI 1730909938
  NPD

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1922814839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PALM AVE STE J2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541012",
            "telephone_number": "619-490-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PALM AVE STE J2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541012",
            "telephone_number": "619-490-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.B. MEDICAL AESTHETIQUES & WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "BUENVENIDA",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-201-3858",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Hyun, D.M.D.
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• Macserei C I Mac Seng, LAC
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• I Zak DDS Prof Dental Corp
• I2B Networks, Inc (Spacelink)
• Sophia Iaccarino
• Kamila Iacob
• Stephanie Ada Iacobelli, DPT, PT
• Kevin Ernest Iacovelli, RN

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.