Organization Active NPI

Skin Time RX PC

Doing business as Skin Time Rx

  • Registered Nurse
  • Pleasanton, CA
National Provider Identifier
1386500999
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
SKIN TIME RX PC
Doing business as
Skin Time Rx
Practice address
1439 Cedarwood LN Ste B
Pleasanton, CA 94566-6127
Phone
(925) 398-3192
NPI assigned
Dec 27, 2025
Last updated
Dec 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

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

Authorized official

Name
Ms. Ingrid Ragoobar, BSN, RN
Title
Owner
Phone
(561) 758-1596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU Primary

Addresses

Primary practice location

1439 Cedarwood LN Ste B
Pleasanton, CA 94566-6127

Mailing address

1439 Cedarwood LN Ste B
Pleasanton, CA 94566-6127
Phone (925) 398-3192

Other names 1

  • Skin Time Rx Doing business as

National Provider Directory

National Provider Directory

Locations

1439 Cedarwood Ln
Ste B
Pleasanton, CA 94566
Phone (510) 755-2333

NPI Registry JSON

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

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766793600000",
    "number": "1386500999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 CEDARWOOD LN STE B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666127",
            "telephone_number": "925-398-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 CEDARWOOD LN STE B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666127",
            "telephone_number": "925-398-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN TIME RX PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A",
        "authorized_official_last_name": "RAGOOBAR",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-758-1596",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Time Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.