North Bay Aesthetics Inc a Professional Medical Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

NORTH BAY AESTHETICS INC A PROFESSIONAL MEDICAL CORPORATION

Practice address

233 Grant Ave FL 6
San Francisco, CA 94108-4646

Phone

(415) 686-3546

Fax

(855) 933-2612

NPI assigned

Feb 17, 2023

Organization subpart

No

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

Authorized official

Name

Moya Meckel, NPNPI 1861046195

Title

Owner, NP

Phone

(416) 686-3546

Specialties & licenses 1

Addresses

Other names 1

• North Bay Aesthetics Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

North Bay Aesthetics Inc a Professional Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Bay Aesthetics Inc a Professional Medical Corporation

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1407733496
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• North Bay Aesthetics Inc a Professional Medical Corporation

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1407733496
  NPPES parent name

Practitioners 1

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

• Moya Anne Meckel, AGACNP-BC

  • Acute Care Nurse Practitioner
  • San Francisco, CA
  • NPI 1861046195
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1316645427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 GRANT AVE FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084646",
            "telephone_number": "415-686-3546",
            "fax_number": "855-933-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 GRANT AVE FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084646",
            "telephone_number": "415-686-3546",
            "fax_number": "855-933-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY AESTHETICS INC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-17",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "MECKEL",
        "authorized_official_first_name": "MOYA",
        "authorized_official_title_or_position": "OWNER, NP",
        "authorized_official_telephone_number": "416-686-3546",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bay Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.