Silhouette Medical Group

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

SILHOUETTE MEDICAL GROUP

Practice address

101 E Vineyard Ave Ste 107
Livermore, CA 94550-6877

Phone

(925) 579-2510

NPI assigned

Jul 31, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tam Nguyen, MD

Title

Managing Partner

Phone

(408) 504-0966

Specialties & licenses 1

Addresses

Other names 1

• Silhouette Med Spa & Weight Loss Management Other name

Locations

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1932687241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E VINEYARD AVE STE 107",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506877",
            "telephone_number": "925-579-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E VINEYARD AVE STE 107",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506877",
            "telephone_number": "925-579-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILHOUETTE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TAM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "408-504-0966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silhouette Med Spa & Weight Loss Management",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jamie Shortz, DC, MS
• Melinda Joy Shrock, MFT1
• Komal Sidhu
• Mariah Jeanne Siebers, RPH
• Lupeaka Silatolu
• Darryl Arthur Silva, LCSW
• Suzanne Silva, NPF
• Silver Oak Health Services, Inc
• Ian Robert Silver
• Delisa Simon, RN, BSN, MSN, NP-C

• Procedural Dermatology Physician in Livermore, CA
• Providers in Livermore, CA by specialty
• Procedural Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.