Sierra Cosmetic Laser, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A74649 Issued in CA

Legal business name

SIERRA COSMETIC LASER, INC

Practice address

10448 Donner Pass Rd
Truckee, CA 96161-0344

Phone

(530) 448-6207

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Haven Monica Ritchie, M.D.

Title

Owner/Ceo

Phone

(530) 448-6207

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1306096490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-326-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10448 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610344",
            "telephone_number": "530-448-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA COSMETIC LASER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "RITCHIE",
        "authorized_official_first_name": "HAVEN",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "530-448-6207",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Shieldhouse, MD
• Jenna Sakae Shinsato, MS, AMFT
• Jenna Shlachter
• Sierra Agape Center
• Sierra Child & Family Services
• Sierra Crest Salubrity, LLC (Truckee Therapy)
• Sierra Mountain Medical Group (N/a)
• Sierra Multi Specialty Medical Group
• Sierra Sports & Physical Therapy, Inc.
• Gurpreet Singh, MD

• Internal Medicine Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.