Labeautyandhair

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LABEAUTYANDHAIR

Practice address

460 City Center Dr
Rohnert Park, CA 94928-2186

Phone

(415) 900-7489

NPI assigned

Sep 30, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abrea TillmanNPI 1912798885

Title

Owner/Authorized Official

Phone

(415) 900-7489

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abrea Tillman

  • Specialist
  • Rohnert Park, CA
  • NPI 1912798885
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1295284248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558 ROUND BARN BLVD STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030991",
            "telephone_number": "415-900-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CITY CENTER DR",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282186",
            "telephone_number": "415-900-7489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 City Center",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "94928",
            "country_code": "US",
            "telephone_number": "415-900-7489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LABEAUTYANDHAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "ABREA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "415-900-7489"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Kong, O.D.
• Gail Harriet Kramer, RNNP
• Kratos Performance & Physiotherapy Inc.
• Tara Krueger, PSY.D.
• Karen Signa Kurtovich, PT
• Sally Francis Ladd, RN,BSN,IBCLC
• Viviane Lam
• Ronaldine Lamarre
• Donna Lamke, MSN
• Claire Lampson

• Durable Medical Equipment & Medical Supplies in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.