Organization Active NPI

Laguna Beach Pediatric Assoc. Inc

  • Pediatrics Physician
  • Newport Beach, CA
National Provider Identifier
1043645641
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C54529 Issued in CA
Legal business name
LAGUNA BEACH PEDIATRIC ASSOC. INC
Practice address
400 Newport Center Dr. Ste 204
Newport Beach, CA 92660
Phone
(949) 509-9915
Fax
(949) 509-1116
NPI assigned
Sep 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Dr. Manpreet Kaur Sarna, MDNPI 1023048196
Title
Owner
Phone
(949) 509-9915

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X C54529 CA Primary

Addresses

Primary practice location

400 Newport Center Dr. Ste 204
Newport Beach, CA 92660

Mailing address

400 Newport Center Dr. Ste 204
Newport Beach, CA 92660
Phone (949) 509-9915

National Provider Directory

National Provider Directory

Locations

18 Endeavor
Ste 101
Irvine, CA 92618
Phone (949) 509-9915

400 Newport Center Dr
Ste 204
Newport Beach, CA 92660
Phone (949) 509-9915

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1043645641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR. STE 204",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-509-9915",
            "fax_number": "949-509-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR. STE 204",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-509-9915",
            "fax_number": "949-509-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA BEACH PEDIATRIC ASSOC. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "SARNA",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-509-9915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C54529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.