Organization Active NPI

Esthetics and Nursing

  • Specialist
  • Rancho Cucamonga, CA
National Provider Identifier
1972398915
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ESTHETICS AND NURSING
Practice address
10828 Foothill Blvd Ste 100
Rancho Cucamonga, CA 91730-3861
Phone
(909) 809-2908
NPI assigned
Apr 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Alexa Nicole HernandezNPI 1790409464
Title
Employee
Phone
(909) 809-2908

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10828 Foothill Blvd Ste 100
Rancho Cucamonga, CA 91730-3861

Mailing address

16776 Bernardo Center Dr Ste 203
San Diego, CA 92128-2559
Phone (909) 809-2908

Other practice location 1

16776 Bernardo Center Dr Ste 203
San Diego, CA 92128-2559
Phone (909) 809-2908

National Provider Directory

National Provider Directory

Locations

16776 Bernardo Center Dr
Ste 203
San Diego, CA 92128
Phone (760) 685-0602

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1972398915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282559",
            "telephone_number": "909-809-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10828 FOOTHILL BLVD STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303861",
            "telephone_number": "909-809-2908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16776 Bernardo Center Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282559",
            "country_code": "US",
            "telephone_number": "909-809-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESTHETICS AND NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "909-809-2908"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.