LA JOLLA COSMETIC LASER CLINIC INC
NPI 1588966238
Specialist in La Jolla, CA

Q: What is La Jolla Cosmetic Laser Clinic Inc's NPI number?

The NPI number for La Jolla Cosmetic Laser Clinic Inc is 1588966238. It was assigned to this organization in the NPPES registry on December 1, 2010.

Q: What is La Jolla Cosmetic Laser Clinic Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 01, 2010

7720 FAY AVE, LA JOLLA, CA 92037(858) 454-2700(858) 454-2782 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About La Jolla Cosmetic Laser Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA JOLLA COSMETIC LASER CLINIC INC (NPI 1588966238) is a healthcare organization registered as a specialist in La Jolla, California and active in the NPI registry since December 2010. The organization lists Paula Ortiz, Medical Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1588966238

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLA JOLLA COSMETIC LASER CLINIC INC

Location Address7720 FAY AVELa Jolla, CA 92037-4309

Mailing Address7720 Fay AveLa Jolla, CA 92037-4309 · (858) 454-2700 · Fax (858) 454-2782

Phone(858) 454-2700

Fax(858) 454-2782

Organization SubpartNo

Authorized OfficialPaula OrtizMedical Billing Coordinator · (858) 454-2700

Enumeration DateDecember 1, 2010

Last NPPES UpdateJune 5, 2025

NPPES CertifiedJune 5, 2025

✔ NPI 1588966238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

7720 FAY AVE, La Jolla, CA 92037

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Other Identifiers 1

Medicaid1588966238CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Jolla Cosmetic Laser Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to La Jolla Cosmetic Laser Clinic Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Faryal Siddiqui, MD

Dermatology

NPI 1003342072

7720 FAY AVE
La Jolla, CA 92037

(858) 454-2700

✔ PECOS✔ Accepts MedicareSame address

Solomiya Grushchak, MD

Micrographic Dermatologic Surgery (MDS)

NPI 1588168108

200 W ARBOR DR
San Diego, CA 92103

(800) 926-8273

✔ PECOS✔ Accepts Medicare9.0 mi

Christopher Barnard, M.D.

Dermatology

NPI 1063505642

101 WILSON RD SUITE A
Monterey, CA 93940

(831) 648-8005

✔ PECOS✔ Accepts Medicare364 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Jolla Cosmetic Laser Clinic Inc's NPI number?

The NPI number for La Jolla Cosmetic Laser Clinic Inc is 1588966238. It was assigned to this organization in the NPPES registry on December 1, 2010.

Where is La Jolla Cosmetic Laser Clinic Inc located?

La Jolla Cosmetic Laser Clinic Inc is located at 7720 Fay Ave, La Jolla, CA 92037. The listed phone number is (858) 454-2700.

What is La Jolla Cosmetic Laser Clinic Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is La Jolla Cosmetic Laser Clinic Inc enrolled in Medicare?

Yes. La Jolla Cosmetic Laser Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Jolla Cosmetic Laser Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to La Jolla Cosmetic Laser Clinic Inc, in Dermatology and Micrographic Dermatologic Surgery (MDS). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Jolla Cosmetic Laser Clinic Inc was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.