BEAUTIFUL SKIN ESSENTIALS INC (NPI# 1316292741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316292741 |
| Entity Type | Organization |
| Organization Name | BEAUTIFUL SKIN ESSENTIALS INC |
| Other Organization Name | BSE INC |
| Practice Address |
16420 Perris Blvd Suite #l Moreno Valley CA 92551-1135 |
| Mailing Address |
1611 Crenshaw Blvd Suite 224 Torrance CA 90501-3123 |
| Practice Telephone | 4247033767 |
| Practice Fax Number | 3105395722 |
| Mailing Telephone | 8005395980 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | MR. ERNEST Z MOZIA (ADMINISTRATOR) |
| Authorized Official Telephone | 8005395980 |
| Authorized Official Credential | LVN,BS-BUSI. MGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
CA | Nursing Service Providers | |
| N | 164X00000X | Licensed Vocational Nurse | CA | Nursing Service Providers | |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11282 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| BSE Inc | Doing Business As Name - Organization |
| Street Address |
16420 PERRIS BLVD SUITE #L |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92551-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780910984 | Michael Robert Thomas | Physical Therapy Assistant | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2009-10-22 |
| 1386190866 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 16420 Perris Blvd, Suite Q, Moreno Valley, CA 92551-1135 | 2016-08-25 |
| 1265754055 | Reza Farahanchi | Acupuncturist | 16420 Perris Blvd, Moreno Valley, CA 92551-1135 | 2010-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730735549 | Geraldine Reed-lewis | Technician | 24805 Quenada Dr., Moreno Valley, CA 92551 | 2019-08-16 |
| 1003330176 | Xochitl Estrada Marroquin | Behavioral Analyst | 24458 Liolios Way, Moreno Valley, CA 92551 | 2017-07-31 |
| 1124407291 | Lynelle Chapman | Marriage & Family Therapist | 16339 Silverbirch Rd, Morenovalley, CA 92551 | 2015-05-22 |
| 1225298904 | Fy Eye Optometry Group Inc | Optometrist | 27100 Eucalyptus, Moreno Valley, CA 92551 | 2008-06-16 |
| 1407945306 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 15025 Perris Blvd, Moreno Valley, CA 92551 | 2006-10-11 |
| 1033487327 | Red Maple Mtu | Public Health or Welfare | 25100 Red Maple Ln Bldg H, Moreno Valley, CA 92551-1120 | 2011-12-01 |
| 1407998149 | Kanak D. Patel | Chiropractor | 16420 Perris Blvd Ste Q, Moreno Valley, CA 92551-1136 | 2007-02-12 |
| 1598311953 | Sarah E Heisler | Nurse Practitioner | 16420 Perris Blvd Ste Q, Moreno Valley, CA 92551-1136 | 2019-08-12 |
| 1144797317 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 16420 Perris Blvd Ste Q, Moreno Valley, CA 92551-1136 | 2018-10-25 |
| 1245707413 | American Current Care of California, A Medical Corporation | Clinic/Center | 16420 Perris Blvd Ste Q, Moreno Valley, CA 92551-1136 | 2018-10-25 |
| Find all providers in zip 92551 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999718 | La Creasure White | Nurse Practitioner | 10271 Prospector Ln, Moreno Valley, CA 92557-4238 | 2020-10-13 |
| 1255945200 | Michael Jay Rendle | Nurse Practitioner | 12032 Champlain St, Moreno Valley, CA 92557-7713 | 2020-09-06 |
| 1013553064 | Natasha Mirella Ramirez | Nurse Practitioner | 22575 Cobble Creek Dr, Moreno Valley, CA 92557-2617 | 2019-11-25 |
| 1730721861 | Roseline Igho Enobakhare | Nurse Practitioner | 13431 Nottingham Ave, Moreno Valley, CA 92555-8413 | 2019-10-10 |
| 1225690449 | Jeremiah Umeh | Nurse Practitioner | 13072 Day St # A301, Moreno Valley, CA 92553-7334 | 2019-07-09 |
| 1679044093 | Reni Zachariah | Nurse Practitioner | 24318 Hemlock Ave Ste E1, Moreno Valley, CA 92557-7225 | 2018-12-11 |
| 1336647742 | Sherle Glenn Rubin | Nurse Practitioner | 13845 Roderick Dr, Moreno Valley, CA 92555-6117 | 2018-01-31 |
| 1689186975 | Linda Yvette Perez | Nurse Practitioner | 22635 Alessandro Blvd Ste A, Moreno Valley, CA 92553-8550 | 2017-10-26 |
| 1063938603 | Anthony I Odimegwu | Nurse Practitioner | 26062 Bercaw Ct, Moreno Valley, CA 92555 | 2017-08-16 |
| 1386195212 | Myla Lara Natividad | Nurse Practitioner | 26323 Old Anvil Ln, Moreno Valley, CA 92555-2935 | 2016-10-14 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92551 |
Please comment or provide details below to improve the information on BEAUTIFUL SKIN ESSENTIALS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.