Glowtox Aesthetics

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GLOWTOX AESTHETICS

Practice address

910 Grand Ave Ste 203-204
San Diego, CA 92109-4046

Phone

(707) 318-5424

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Tiffany Marquez-Carles, NP

Title

Secretary

Phone

(707) 318-5424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tiffany Hebe De Marquez-Carles, NP

  • Nurse Practitioner
  • San Diego, CA
  • NPI 1477319390
  NPD

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1346007168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 REED AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GRAND AVE STE 203-204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094046",
            "telephone_number": "707-318-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOWTOX AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ-CARLES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "707-318-5424",
        "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": []
}

• Joanna Glover
• Kyle C Glover, PSYD
• Melanie Marie Glover, PA
• Rachel Francesca Glovinsky
• Krystal Glowack
• Gary Stephen Gluck, M.D.
• Linda Glynn
• Ryan Michael Glynn, MD
• Marti E Gminski, NP
• Brian Gnad

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.