NPIMap

Organization Active NPI

North Bay Aesthetics Inc a Professional Medical Corporation

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1407733496
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NORTH BAY AESTHETICS INC A PROFESSIONAL MEDICAL CORPORATION
Practice address
5757 Wilshire Blvd Ste 490
Los Angeles, CA 90036-5811
Phone
(323) 426-3334
NPI assigned
Aug 20, 2025
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH BAY AESTHETICS INC A PROFESSIONAL MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
John Hawkins
Title
Billing Manager
Phone
(415) 686-3546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste 490
Los Angeles, CA 90036-5811

Mailing address

233 Grant Ave FL 6
San Francisco, CA 94108-4646
Phone (415) 686-3546

National Provider Directory

National Provider Directory
Tax ID family
North Bay Aesthetics Inc2 organizations share this tax ID, including this one
Part of
North Bay Aesthetics Inc

Other organizations with this tax ID 1

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

Locations

233 Grant Ave
Fl 6
San Francisco, CA 94108
Phone (415) 686-3546

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1407733496",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 490",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365811",
            "telephone_number": "323-426-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY AESTHETICS INC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BAY AESTHETICS INC A PROFESSIONAL MEDICAL CORPORATION",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "415-686-3546"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.