Organization Active NPI

Pantheon Body Care

  • Specialist
  • Pleasanton, CA
National Provider Identifier
1497553218
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PANTHEON BODY CARE
Practice address
4713 1St St
#252
Pleasanton, CA 94566-7376
Phone
(415) 494-9468
NPI assigned
Mar 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Artemis Fox, L.E.
Title
Licensed Electrologist , Owner
Phone
(415) 494-9468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4713 1St St
#252
Pleasanton, CA 94566-7376

Mailing address

1146 Sonata Dr
Vallejo, CA 94591-3876
Phone (415) 494-9468

Other names 1

  • Olympus Electrology Doing business as

National Provider Directory

National Provider Directory

Locations

4713 1st St
Ste 252
Pleasanton, CA 94566
Phone (415) 494-9468

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1497553218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 SONATA DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945913876",
            "telephone_number": "415-494-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 1ST ST",
            "address_2": "#252",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667376",
            "telephone_number": "415-494-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHEON BODY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ARTEMIS",
        "authorized_official_title_or_position": "LICENSED ELECTROLOGIST , OWNER",
        "authorized_official_telephone_number": "415-494-9468",
        "authorized_official_credential": "L.E."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympus Electrology",
            "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 Mar 6, 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.