Organization Active NPI

Wink Aesthetic Clinic

  • Dermatology Physician
  • Mountain View, CA
National Provider Identifier
1952259087
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
WINK AESTHETIC CLINIC
Practice address
455 N Whisman Rd Ste 200
Mountain View, CA 94043-5721
Phone
(650) 963-9115
NPI assigned
Mar 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Justin Rome, MD
Title
President
Phone
(510) 827-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

455 N Whisman Rd Ste 200
Mountain View, CA 94043-5721

Mailing address

455 N Whisman Rd Ste 200
Mountain View, CA 94043-5721
Phone (650) 963-9115

National Provider Directory

National Provider Directory

Locations

455 N Whisman Rd
Ste 200
Mountain View, CA 94043
Phone (650) 963-9115

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1952259087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N WHISMAN RD STE 200",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940435721",
            "telephone_number": "650-963-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N WHISMAN RD STE 200",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940435721",
            "telephone_number": "650-963-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINK AESTHETIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-827-3377",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.