ELITE AESTHETICS & DERMATOLOGY INC
NPI 1669177192
Nurse Practitioner - Family in Bakersfield, CA

Active since April 03, 2023
3409 CALLOWAY DR UNIT 602, BAKERSFIELD, CA 93312(661) 218-9923 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elite Aesthetics & Dermatology Inc NPPES

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

ELITE AESTHETICS & DERMATOLOGY INC (NPI 1669177192) is a healthcare organization registered as a family in Bakersfield, California and active in the NPI registry since April 2023. The organization lists Jennifer Tougas-genova, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1669177192
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameELITE AESTHETICS & DERMATOLOGY INC
Location Address3409 CALLOWAY DR UNIT 602Bakersfield, CA 93312-2534
Mailing Address3409 Calloway Dr Unit 602Bakersfield, CA 93312-2534
Organization SubpartNo
Authorized OfficialJennifer Tougas-genovaNurse Practitioner · (413) 519-5594
Enumeration DateApril 3, 2023
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1669177192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedPlastic SurgeryTaxonomy 208200000X
3409 CALLOWAY DR UNIT 602, Bakersfield, CA 93312

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Aesthetics & Dermatology Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Elite Aesthetics & Dermatology Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1952992539
3409 CALLOWAY DR UNIT 602
Bakersfield, CA 93312
(661) 218-9923
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1003549544
5101 COMMERCE DR STE 101
Bakersfield, CA 93309
(661) 327-3756
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1508758814
4100 EMPIRE DR STE 120
Bakersfield, CA 93309
(866) 903-3376
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1427432293
6504 PLAQUEMINES DR
Bakersfield, CA 93309
(413) 519-5594
✔ PECOS✔ Accepts Medicare5.3 mi
Plastic and Reconstructive Surgery
NPI 1013913698
5128 W CYPRESS AVE
Visalia, CA 93277
(559) 713-1717
✔ PECOS✔ Accepts Medicare66 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elite Aesthetics & Dermatology Inc's NPI number?

The NPI number for Elite Aesthetics & Dermatology Inc is 1669177192. It was assigned to this organization in the NPPES registry on April 3, 2023.

Where is Elite Aesthetics & Dermatology Inc located?

Elite Aesthetics & Dermatology Inc is located at 3409 Calloway Dr Unit 602, Bakersfield, CA 93312. The listed phone number is (661) 218-9923.

What is Elite Aesthetics & Dermatology Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elite Aesthetics & Dermatology Inc enrolled in Medicare?

Yes. Elite Aesthetics & Dermatology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Aesthetics & Dermatology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Elite Aesthetics & Dermatology Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Plastic and Reconstructive Surgery (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elite Aesthetics & Dermatology Inc was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.