Botox Fillers Dermatology Inc
NPI 1689567125 · Clinic/Center · Rancho Cucamonga, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Botox Fillers Dermatology Inc is a Clinic/Center organization in Rancho Cucamonga, CA (NPI 1689567125).
Provider details
- NPI number
- 1689567125
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Opai-Tetteh, Owner(424) 420-3461
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-11-10
- Certified
- 2025-11-10
Frequently asked questions
- What is Botox Fillers Dermatology Inc's NPI number?
- Botox Fillers Dermatology Inc's National Provider Identifier (NPI) is 1689567125, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Botox Fillers Dermatology Inc?
- Botox Fillers Dermatology Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Botox Fillers Dermatology Inc located?
- Botox Fillers Dermatology Inc's practice location on file with NPPES is 10601 Church St Ste 123, Rancho Cucamonga, CA 91730-6840.
- What is Botox Fillers Dermatology Inc's phone number?
- The practice phone number listed in the NPPES registry for Botox Fillers Dermatology Inc is (909) 321-8030.
- Does Botox Fillers Dermatology Inc accept Medicare?
- Botox Fillers Dermatology Inc 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 Botox Fillers Dermatology Inc?
- The authorized official listed on Botox Fillers Dermatology Inc's NPPES record is David Opai-Tetteh, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Botox Fillers Dermatology Inc's NPI active?
- Yes — Botox Fillers Dermatology Inc's NPI (1689567125) is active in the NPPES registry as of the last update on 2025-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.