JADE PHOENIX AESTHETIC MEDICINE, PC
NPI 1871331116
Clinic/Center - Ambulatory Surgical in Irvine, CA
About Jade Phoenix Aesthetic Medicine, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADE PHOENIX AESTHETIC MEDICINE, PC (NPI 1871331116) is a healthcare organization registered as an ambulatory surgical in Irvine, California and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Thomas Lee, Owner/medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Waiver 05D2221453
Jade Phoenix Aesthetic Medicine · Irvine, CAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IRVINE, CA 92618
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 Jade Phoenix Aesthetic Medicine, PC's NPI number?
The NPI number for Jade Phoenix Aesthetic Medicine, PC is 1871331116. It was assigned to this organization in the NPPES registry on July 19, 2024.
Where is Jade Phoenix Aesthetic Medicine, PC located?
Jade Phoenix Aesthetic Medicine, PC is located at 22 Odyssey Ste 265, Irvine, CA 92618. The listed phone number is (949) 988-0289.
What is Jade Phoenix Aesthetic Medicine, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Jade Phoenix Aesthetic Medicine, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2221453) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jade Phoenix Aesthetic Medicine, PC was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jade Phoenix Aesthetic Medicine, Pc · NPI 1871331116
Ambulatory Surgical organization in Irvine, California. Organization record, active in the CMS NPPES registry since July 19, 2024.
## Identity
- **NPI:** 1871331116 (Entity type: Organization)
- **Enumerated:** July 19, 2024
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Thomas Lee, OWNER/MEDICAL DIRECTOR
## Practice location
- **Address:** 22 ODYSSEY STE 265, Irvine, CA 92618-7701
- **Phone:** (949) 988-0289
## Record status
- **NPPES last updated:** July 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871331116) · Data from the CMS NPPES public registry.