Active NPI
New 2 You Skin & Body
- Adult Medicine Physician
- Novato, CA
National Provider Identifier
1861008013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- NEW 2 YOU SKIN & BODY
- Practice address
- 1615 Hill Rd Ste J
Novato, CA 94947-4338 - Phone
- (415) 895-1441
- Fax
- (415) 895-1288
- NPI assigned
- Sep 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas P Young, PHD NP
- Title
- Owner
- Phone
- (415) 895-1441
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
1615 Hill Rd Ste J
Novato, CA 94947-4338
Mailing address
1615 Hill Rd Ste J
Novato, CA 94947-4338
Phone (415) 895-1441
National Provider Directory
National Provider DirectoryLocations
1615 Hill Rd
Ste J
Novato, CA 94947
Phone (415) 264-4890
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Santa Rosa, CA
- NPI 1689797029
-
- Adult Medicine Physician
- Novato, CA
- NPI 1932395712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603152000000",
"number": "1861008013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 HILL RD STE J",
"city": "NOVATO",
"state": "CA",
"postal_code": "949474338",
"telephone_number": "415-895-1441",
"fax_number": "415-895-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 HILL RD STE J",
"city": "NOVATO",
"state": "CA",
"postal_code": "949474338",
"telephone_number": "415-895-1441",
"fax_number": "415-895-1288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW 2 YOU SKIN & BODY",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-22",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-895-1441",
"authorized_official_credential": "PHD NP"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"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 Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.