Advanced Skincare Physician Assistant Corporation (Pac)
NPI 1245830389ActiveOrganization· Physician Assistant· Fullerton, CA
Physician Assistant in Fullerton, California, registered in NPPES in October 2020. The authorized official on file is Suzanne Freesemann, PA, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245830389 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 28, 2020 |
| Last updated in NPPES | Feb 8, 2021 |
| Certified by provider | Feb 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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