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BLUE PACIFIC AESTHETIC MEDICAL GROUP
NPI 1124074059
Plastic Surgery - Plastic Surgery Within the Head and Neck in Hermosa Beach, CA

Active since May 25, 2006
415 PIER AVE, HERMOSA BEACH, CA 90254(310) 379-6074 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Pacific Aesthetic Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE PACIFIC AESTHETIC MEDICAL GROUP (NPI 1124074059) is a healthcare organization registered as a plastic surgery within the head and neck in Hermosa Beach, California and active in the NPI registry since May 2006. The organization lists Douglas Roy Mest, President, as its authorized official.

NPPES Registry Identity

NPI1124074059
Entity TypeOrganization
Primary Taxonomy2082S0099X
Legal Business NameBLUE PACIFIC AESTHETIC MEDICAL GROUP
Location Address415 PIER AVEHermosa Beach, CA 90254-3820
Mailing Address210 N Tustin AveSanta Ana, CA 92705-3807 · (800) 883-7243 · Fax (714) 647-1245
Phone(310) 379-6074
Organization SubpartNo
Authorized OfficialDouglas Roy MestPresident · (714) 347-1010
Enumeration DateMay 25, 2006
Last NPPES UpdateMay 4, 2010
✔ NPI 1124074059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Plastic Surgery Within the Head and NeckAllopathic & Osteopathic Physicians
Taxonomy Code2082S0099X
License✔ Licensed in CA · FNP27928
Definition
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.
415 PIER AVE, Hermosa Beach, CA 90254
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALEIGH FOSTER
Nurse Practitioner (Family)
415 PIER AVE
HERMOSA BEACH, CA 90254
Los Angeles County (310) 379-6074
HEIDI M CARLE FNP
Registered Nurse (School)
415 PIER AVE
HERMOSA BEACH, CA 90254
Los Angeles County (310) 379-6074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Pacific Aesthetic Medical Group's NPI number?

The NPI number for Blue Pacific Aesthetic Medical Group is 1124074059. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Blue Pacific Aesthetic Medical Group located?

Blue Pacific Aesthetic Medical Group is located at 415 Pier Ave, Hermosa Beach, CA 90254. The listed phone number is (310) 379-6074.

What is Blue Pacific Aesthetic Medical Group's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Plastic Surgery Within the Head and Neck, with taxonomy code 2082S0099X.

When was this NPI record last updated?

The NPPES record for Blue Pacific Aesthetic Medical Group was last updated on May 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.