CALIFORNIA SPA BOUTIQUE (NPI# 1487934360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487934360 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA SPA BOUTIQUE |
| Other Organization Name | TIMELESS SKIN SPA |
| Practice Address |
413b Monterey Ave Los Gatos CA 95030-5302 |
| Practice Telephone | 4083957792 |
| Mailing Telephone | 4083957792 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | JILL HOYER (PRESIDENT) |
| Authorized Official Telephone | 4083957792 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Timeless Skin Spa | Doing Business As Name - Organization |
| Street Address |
413B MONTEREY AVE |
| City | LOS GATOS |
| State | CA |
| Zip Code | 95030-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598045577 | Jill Hoyer | Specialist/Technologist, Other | 413b Monterey Ave, Los Gatos, CA 95030-5302 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1942840046 | Juniper Psychology Group, PC | Psychologist | 15814 Winchester Blvd., Suite 105, Los Gatos, CA 95030 | 2020-01-07 |
| 1487169561 | Kimberly Gladysz | Counselor | 499 Loma Alta Ave Bldg 5, Los Gatos, CA 95030 | 2017-12-11 |
| 1104364546 | Holland Wrenn Pauselius | Case Manager/Care Coordinator | 449 Loma Alta Avenue, Los Gatos, CA 95030 | 2017-02-06 |
| 1679017974 | Gillian Sands | Marriage & Family Therapist | 330 N. Santa Cruz Avenue, Suite B, Los Gatos, SANTA CLARA COUNTY 95030 | 2016-12-06 |
| 1649628579 | Yun Chung Wang | Acupuncturist | 430 Monterey Ave. Ste 1b, Los Gatos, CA 95030 | 2016-06-01 |
| 1619308186 | Chia-tsen Chen | Audiologist | 15861 Winchester Blvd., Los Gatos, CA 95030 | 2013-12-09 |
| 1144592825 | Eric Alan Hansen | Pediatrics | 17611 Foster Road, Los Gatos, CA 95030 | 2012-01-27 |
| 1356628085 | Teresa C. Yang | Physical Therapist | 110 Wood Rd., Los Gatos, CA 95030 | 2011-11-09 |
| 1093025314 | Susan Greenberg-englander | Psychiatry & Neurology | 20 South Santa Cruz Ave., #315, Los Gatos, CA 95030 | 2010-10-20 |
| Find all providers in zip 95030 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598045577 | Jill Hoyer | Specialist/Technologist, Other | 413b Monterey Ave, Los Gatos, CA 95030-5302 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809621 | Diane Vincent Sharp | Specialist/Technologist, Other | 180 Leveland Ln Ste 1b, Modesto, CA 95350-2254 | 2020-07-28 |
| 1235791161 | Heidi Henderson | Specialist/Technologist, Other | 10606 Hageman Rd Ste B4, Bakersfield, CA 93312-9109 | 2019-07-01 |
| 1801304621 | Id Acupuncture | Specialist/Technologist, Other | 13851 E 14th St Ste 203, San Leandro, CA 94578-2627 | 2018-01-15 |
| 1528574084 | Laura Becker | Specialist/Technologist, Other | 1155 Palm Ave, Imperial Beach, Imperial Beach, CA 91932-9193 | 2017-12-20 |
| 1225583073 | Kathleen Mcgraw | Specialist/Technologist, Other | 25030 Avenue Stanford Ste 100, Valencia, CA 91355-4505 | 2016-08-22 |
| 1932555042 | Dawn Percer | Specialist/Technologist, Other | 29377 Rancho California Rd Ste 101, Temecula, CA 92591-5206 | 2016-05-06 |
| 1104282177 | Shane Wallin | Specialist/Technologist, Other | 1968 Garnet Ave, San Diego, CA 92109-3555 | 2016-01-06 |
| 1700286804 | Holly Feneht | Specialist/Technologist, Other | 21826 Grovepark Dr, Saugus, CA 91350-1616 | 2014-08-26 |
| 1285057273 | Restorative Ink Specialists | Specialist/Technologist, Other | 1218 Irvine Blvd # 13, Tustin, CA 92780-3531 | 2014-01-27 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CALIFORNIA SPA BOUTIQUE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.