OrganizationActive
Eternal Youth Medical Spa
NPI 1649745274 · Plastic and Reconstructive Surgery Physician · Santa Ana, CA
Provider details
- NPI number
- 1649745274
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Eternal Youth Med Spa
- Organization subpart
- Yes
- Authorized official
- Maria Knight, Office Director(714) 558-9800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
902 N. Grand Avenue
Suite 204
Santa Ana, CA 92701
Phone: (714) 558-9800
Fax: (714) 558-9803
Street-level locationGet directions
Mailing address
902 N. Grand Avenue
Santa Ana, CA 92701
Other names (DBA / former)
- Doing business as
- Mark A.f. Knight, M.D.
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2018-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.