Aesthetic NP Practice Authority
Aesthetic Nurse Practitioner Scope of Practice in California
What an NP, PA, or RN entering aesthetic medicine in California needs to know — sourced from the AANP State Practice Environment + the California Board of Nursing.
Can an NP own an aesthetic practice solo in California?
No (with AB890 transition exception). NP-owned aesthetic practices in CA must operate as a Medical Corporation (PC) with majority physician ownership unless the NP qualifies for AB890 Category 103 (independent practice after 3 years + mentorship).
Collaborative agreement / physician relationship
Standardized procedures + physician collaboration required. AB890 (2020) creates a pathway to independent practice after meeting Category 103 criteria.
Good-faith exam (GFE) rules — aesthetic context
GFE required before any aesthetic medication administration. Telehealth GFE is permitted but Initial Treating Provider must be a CA-licensed prescriber. Cosmetic Medical Board guidance applies.
RN injection scope in California
RNs may inject aesthetic medications (botulinum toxin, dermal fillers, fat-dissolving) under a valid prescriber order and approved protocol. Only PRESCRIBING requires a licensed NP/MD/DO. Verify with your board.
Sources
- AANP State Practice Environment — aanp.org/advocacy/state/state-practice-environment
- AANP State Practice Environment PDF — direct PDF
- California Board of Nursing (official) — www.rn.ca.gov/