Advanced Skincare Physician Assistant Corporation (pac)
NPI 1245830389 · Physician Assistant · Fullerton, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Skincare Physician Assistant Corporation (pac) is a Physician Assistant organization in Fullerton, CA (NPI 1245830389).
Provider details
- NPI number
- 1245830389
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Suzanne Freesemann, Ceo(714) 879-9936
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Advanced Skincare, Pac
- Former legal business name
- Advanced Skincare, Pac
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2021-02-08
- Certified
- 2021-02-08
Frequently asked questions
- What is Advanced Skincare Physician Assistant Corporation (pac)'s NPI number?
- Advanced Skincare Physician Assistant Corporation (pac)'s National Provider Identifier (NPI) is 1245830389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Skincare Physician Assistant Corporation (pac)?
- Advanced Skincare Physician Assistant Corporation (pac) is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Advanced Skincare Physician Assistant Corporation (pac) located?
- Advanced Skincare Physician Assistant Corporation (pac)'s practice location on file with NPPES is 2720 N Harbor Blvd Ste 230, Fullerton, CA 92835-2626.
- What is Advanced Skincare Physician Assistant Corporation (pac)'s phone number?
- The practice phone number listed in the NPPES registry for Advanced Skincare Physician Assistant Corporation (pac) is (714) 879-9936.
- Does Advanced Skincare Physician Assistant Corporation (pac) accept Medicare?
- Advanced Skincare Physician Assistant Corporation (pac) is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Advanced Skincare Physician Assistant Corporation (pac)?
- The authorized official listed on Advanced Skincare Physician Assistant Corporation (pac)'s NPPES record is Suzanne Freesemann, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Skincare Physician Assistant Corporation (pac)'s NPI active?
- Yes — Advanced Skincare Physician Assistant Corporation (pac)'s NPI (1245830389) is active in the NPPES registry as of the last update on 2021-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.