Individual provider Active NPI

Elizabeth Segura, ELECTROLOGIST

  • Specialist
  • Novato, CA
National Provider Identifier
1699668327
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9787 Issued in CA
Practice address
1423 Grant Ave
Novato, CA 94945-3118
Phone
(415) 261-8465
Fax
(802) 721-7798
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9787 CA Primary

Addresses

Primary practice location

1423 Grant Ave
Novato, CA 94945-3118

Mailing address

28 Lauren Ave
Novato, CA 94947-4123
Phone (408) 661-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L9787CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Airship Electrolysis Inc Specialist CurrentSince Jun 8, 2025 Accepting new patients

Locations

3101 Telegraph Ave
#9
Berkeley, CA 94705
Phone (510) 812-7084

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1699668327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 LAUREN AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474123",
            "telephone_number": "408-661-3060",
            "fax_number": "802-721-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 GRANT AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453118",
            "telephone_number": "415-261-8465",
            "fax_number": "802-721-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA",
        "first_name": "ELIZABETH",
        "credential": "ELECTROLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.