The Botox Spot Physician Assistant Corporation
NPI 1710756390 · Medical Specialty Clinic/Center · Redlands, CA
The Botox Spot Physician Assistant Corporation is a Medical Specialty Clinic/Center organization in Redlands, CA (NPI 1710756390).
Provider details
- NPI number
- 1710756390
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Russ, Owner(909) 752-6869
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
2 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)
- Doing business as
- The Botox Spot
- Doing business as
- The Botox Spot Physician Assistant Corporation
Registry dates
- Enumerated
- 2023-12-25
- Last updated
- 2023-12-25
- Certified
- 2023-12-24
Frequently asked questions
- What is The Botox Spot Physician Assistant Corporation's NPI number?
- The Botox Spot Physician Assistant Corporation's National Provider Identifier (NPI) is 1710756390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Botox Spot Physician Assistant Corporation?
- The Botox Spot Physician Assistant Corporation is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is The Botox Spot Physician Assistant Corporation located?
- The Botox Spot Physician Assistant Corporation's practice location on file with NPPES is 914 Orange St Ste E, Redlands, CA 92374-3281.
- What is The Botox Spot Physician Assistant Corporation's phone number?
- The practice phone number listed in the NPPES registry for The Botox Spot Physician Assistant Corporation is (909) 752-6869.
- Who is the authorized official for The Botox Spot Physician Assistant Corporation?
- The authorized official listed on The Botox Spot Physician Assistant Corporation's NPPES record is Andrew Russ, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Botox Spot Physician Assistant Corporation's NPI active?
- Yes — The Botox Spot Physician Assistant Corporation's NPI (1710756390) is active in the NPPES registry as of the last update on 2023-12-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.