Glow Theory Dermatology Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

GLOW THEORY DERMATOLOGY INC

Doing business as

Glow Theory - Dermatology Studio

Practice address

7750 El Camino Real Ste F
Carlsbad, CA 92009-8517

Phone

(888) 456-9843

NPI assigned

Sep 3, 2021

Organization subpart

No

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

Authorized official

Name

Insiyah Darugar, FNPNPI 1881999621

Title

Family Nurse Practitioner

Phone

(859) 912-1906

Specialties & licenses 2

Addresses

Other names 1

• Glow Theory - Dermatology Studio Doing business as

Locations

Practitioners 1

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

• Insiyah Darugar

  • Family Nurse Practitioner
  • Folsom, CA
  • NPI 1881999621
  NPD Authorized official

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1477221364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 EL CAMINO REAL STE F",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098517",
            "telephone_number": "888-456-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 EL CAMINO REAL STE F",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098517",
            "telephone_number": "888-456-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW THEORY DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "DARUGAR",
        "authorized_official_first_name": "INSIYAH",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "859-912-1906",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glow Theory - Dermatology Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Global One Ventures, LLC
• Global One Ventures, LLC
• Global One Ventures, LLC
• Global One Ventures, LLC-T2
• Juliana Grace Glossbrenner
• Jennifer Godfrey, LEP
• Ramon Rodrigo Godoy
• Stacy Rae Godoy, LMFT
• Yami Ana Godoy, DDS
• Claudia Goedde, PSYD

• Medical Specialty Clinic/Center in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.