Active NPI
Ron G. Soltero, M.D. Inc
- Non-Pharmacy Dispensing Site
- San Diego, CA
National Provider Identifier
1750650909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- RON G. SOLTERO, M.D. INC
- Doing business as
- La Jolla Professional Plastic Surgery
- Practice address
- 4510 Executive Dr
Suite 105
San Diego, CA 92121-3021 - Phone
- (858) 457-8686
- NPI assigned
- Dec 16, 2011
- Organization subpart
- Yes
- Parent organization
- RON G. SOLTERO, M.D. INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raluan G. Soltero, MD
- Title
- Owner
- Phone
- (858) 457-8686
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
4510 Executive Dr
Suite 105
San Diego, CA 92121-3021
Mailing address
2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809
Other names 1
- La Jolla Professional Plastic Surgery
National Provider Directory
National Provider Directory- Part of
- Ron G Soltero MD Inc
Locations
4510 Executive Dr
Ste 105
San Diego, CA 92121
Phone (858) 247-2933
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- San Diego, CA
- NPI 1558481150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326067200000",
"number": "1750650909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR",
"address_2": "SUITE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-474-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR",
"address_2": "SUITE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213021",
"telephone_number": "858-457-8686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RON G. SOLTERO, M.D. INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RON G. SOLTERO, M.D. INC",
"enumeration_date": "2011-12-16",
"last_updated": "2012-01-09",
"status": "A",
"authorized_official_last_name": "SOLTERO",
"authorized_official_first_name": "RALUAN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-457-8686",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "La Jolla Professional Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.