Torrey Pines Dermatology a Medical Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TORREY PINES DERMATOLOGY A MEDICAL CORPORATION

Practice address

9850 Genesee Ave
Suite 460
La Jolla, CA 92037-1228

Phone

(858) 362-8800

Fax

(858) 362-8803

NPI assigned

Aug 14, 2006

Last updated

Jun 9, 2010By 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

Kristen Anne Richards, M.D.NPI 1386657195

Title

Ceo

Phone

(858) 362-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Anne Richards, M.D.

  • Dermatology Physician
  • La Jolla, CA
  • NPI 1386657195
  Medicare reassignment Care Compare group NPD Authorized official
• Barak C Clement, DO

  • Dermatology Physician
  • San Diego, CA
  • NPI 1073968947
  Medicare reassignment Care Compare group NPD
• Sakshi Monga Patel, PA-C

  • Medical Physician Assistant
  • Temecula, CA
  • NPI 1942552914
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1750394508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 460",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371228",
            "telephone_number": "858-362-8800",
            "fax_number": "858-362-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 460",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371228",
            "telephone_number": "858-362-8800",
            "fax_number": "858-362-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORREY PINES DERMATOLOGY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-362-8800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karo Torosian, D.O
• Erick Torres, MD
• Patrick James Pineda Torres, PHARM. D.
• Torrey Pines Anesthesia Consultants
• Torrey Pines Birth Collective
• Torrey Pines Eye Care
• Torrey Pines OB-GYN Medical Group, Inc.
• Torrey Pines Orthopaedic Medical Group Inc
• Torrey Pines Orthopaedic Medical Group Inc
• Torrey Pines Orthopaedic Medical Group Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.