OrganizationActive
Aesthetic Laser & Vein Center of the North Bay
NPI 1508992199 · Specialist · Santa Rosa, CA
Provider details
- NPI number
- 1508992199
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Walter Tom, Doctor(707) 542-8346
- License
- 657374 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
170 Farmers Ln Ste 6b
Santa Rosa, CA 95405-4768
Phone: (707) 542-8346
Street-level locationGet directions
Mailing address
170 Farmers Ln Ste 6b
Santa Rosa, CA 95405-4768
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.