The California Institute for Aesthetic Medicine

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

37788 Issued in CA

Legal business name

THE CALIFORNIA INSTITUTE FOR AESTHETIC MEDICINE

Practice address

4150 Regents Park Row
Suite 360
La Jolla, CA 92037-9124

Phone

(858) 678-0220

NPI assigned

Jul 1, 2014

Last updated

Jul 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. P. Scott Ricke, M.D.

Title

Medical Director

Phone

(858) 678-0220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1508272337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 COSTA VERDE BLVD",
            "address_2": "APT 407",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921226656",
            "telephone_number": "858-678-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW",
            "address_2": "SUITE 360",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379124",
            "telephone_number": "858-678-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CALIFORNIA INSTITUTE FOR AESTHETIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "RICKE",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-678-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "37788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Michael Terle, MD
• Danielle Terrenzi
• Christie Teruel, LAC
• Garrett Teskey
• Nikita Shivani Thareja, MD
• The Cognitive Therapy Institute, a Psychological Corporation (The Cognitive Therapy Institute of San Diego)
• The Physical Therapy Clinic at la Jolla, PC
• The Wellness Institute
• Sushrut Sujan Thiruvengadam, M.D.
• Thomas H Lange DDS Fagd PC

• Anesthesiology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.