Organization Active NPI

Onestop Aesthetic Travel and Wellness Center Inc

  • Internal Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1568101574
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ONESTOP AESTHETIC TRAVEL AND WELLNESS CENTER INC
Practice address
5924 Stoneridge Dr Ste 110
Pleasanton, CA 94588-5400
Phone
(925) 487-2005
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Anuja Garg, MDNPI 1841466471
Title
Owner
Phone
(925) 263-9547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X

Addresses

Primary practice location

5924 Stoneridge Dr Ste 110
Pleasanton, CA 94588-5400

Mailing address

5924 Stoneridge Dr Ste 110
Pleasanton, CA 94588-5400
Phone (925) 263-9547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220719002286 CA Part B Supplier - Clinic/Group Practice 9638550809 Receives reassigned benefits from 6 practitioners
Practice locations: Pleasanton, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2290229Onestop Aesthetic Travel and Wellness Center Inc5924 Stoneridge Dr, Ste 110, Pleasanton, CA 94588Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1568101574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400",
            "telephone_number": "925-263-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400",
            "telephone_number": "925-487-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONESTOP AESTHETIC TRAVEL AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "ANUJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-263-9547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.