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ADVANCED SKINCARE, A PROFESSIONAL CORP.
NPI 1154936011
Physician Assistant in Fullerton, CA

Active since September 08, 2020
2720 N HARBOR BLVD, FULLERTON, CA 92835(714) 879-9936 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Skincare, A Professional Corp. NPPES

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

ADVANCED SKINCARE, A PROFESSIONAL CORP. (NPI 1154936011) is a healthcare organization registered as a physician assistant in Fullerton, California and active in the NPI registry since September 2020. The organization lists Suzanne Freesemann, Owner/physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1154936011
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameADVANCED SKINCARE, A PROFESSIONAL CORP.
Location Address2720 N HARBOR BLVDFullerton, CA 92835-2609
Mailing Address2720 N Harbor BlvdFullerton, CA 92835-2609 · (714) 879-9936
Phone(714) 879-9936
Organization SubpartNo
Authorized OfficialSuzanne FreesemannOwner/physician Assistant · (714) 879-9936
Enumeration DateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
✔ NPI 1154936011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2720 N HARBOR BLVD, Fullerton, CA 92835
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0953069

Advanced Skincare · Fullerton, CA
Expired · Jul 31, 2026
CLIA Number05D0953069
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Marguerite J. Critelli
Laboratory Phone(714) 879-9936
Laboratory LocationAdvanced Skincare2720 N Harbor Blvd Ste 230, Fullerton, CA 92835
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 19

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

EUGENE BOSTON
Internal Medicine
2720 N HARBOR BLVD, SUITE 100
FULLERTON, CA 92835
Orange County (714) 449-6990
KHALED MAHMOUD HASSAN M.D.
Dermatology (MOHS-Micrographic Surgery)
2720 N HARBOR BLVD, STE 220
FULLERTON, CA 92835
Orange County (714) 578-8527
ST JUDE HOSPITAL YORBA LINDA
Family Medicine
2720 N HARBOR BLVD, SUITE 130
FULLERTON, CA 92835
Orange County (714) 449-6230
CHRISTINE HAE-JIN WON M.D.
Pediatrics
2720 N HARBOR BLVD, SUITE 220
FULLERTON, CA 92835
Orange County (714) 449-6990
JOEL TETZLAFF PA
Physician Assistant
2720 N HARBOR BLVD, SUITE 130
FULLERTON, CA 92835
Orange County (714) 449-6230
PENNY LANE MAKABENTA PA
Physician Assistant
2720 N HARBOR BLVD, SUITE 130
FULLERTON, CA 92835
Orange County (714) 449-6230
NEGEEN FARMAND PA
Physician Assistant
2720 N HARBOR BLVD, SUITE 130
FULLERTON, CA 92835
Orange County (714) 449-6230
DR. ROBERT ROSENBERG M.D.
Dermatology (MOHS-Micrographic Surgery)
2720 N HARBOR BLVD, SUITE 210
FULLERTON, CA 92835
Orange County (714) 626-6310

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 Advanced Skincare, A Professional Corp.'s NPI number?

The NPI number for Advanced Skincare, A Professional Corp. is 1154936011. It was assigned to this organization in the NPPES registry on September 8, 2020.

Where is Advanced Skincare, A Professional Corp. located?

Advanced Skincare, A Professional Corp. is located at 2720 N Harbor Blvd, Fullerton, CA 92835. The listed phone number is (714) 879-9936.

What is Advanced Skincare, A Professional Corp.'s specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Advanced Skincare, A Professional Corp. was last updated on September 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.