Eternal Youth Medical Spa
NPI 1649745274ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Santa Ana, CA
Surgery, Plastic and Reconstructive Surgery in Santa Ana, California, registered in NPPES in October 2018, part of Eternal Youth Med Spa. The authorized official on file is Maria Jett Knight, Office Director.
Overview
| NPI | 1649745274 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Eternal Youth Med Spa |
| NPI issued | Oct 10, 2018 |
| Last updated in NPPES | Oct 10, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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