California Spa Boutique

Primary specialty

Medical Art Specialist/TechnologistTaxonomy code 246ZA2600X

Legal business name

CALIFORNIA SPA BOUTIQUE

Practice address

413B Monterey Ave
Los Gatos, CA 95030-5302

Phone

(408) 395-7792

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Jill HoyerNPI 1598045577

Title

President

Phone

(408) 395-7792

Specialties & licenses 1

Addresses

Other names 1

• Timeless Skin Spa 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.

• Jill Hoyer

  • Medical Art Specialist/Technologist
  • Los Gatos, CA
  • NPI 1598045577

  Art, Medical

  NPD (past) Authorized official

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1487934360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413B MONTEREY AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305302",
            "telephone_number": "408-395-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413B MONTEREY AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950305302",
            "telephone_number": "408-395-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPA BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "HOYER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-395-7792"
    },
    "taxonomies": [
        {
            "code": "246ZA2600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Art, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timeless Skin Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Art Specialist/Technologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Medical Art Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.