Pacific Ridge Medical Associates, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2425685 Issued in CA

Legal business name

PACIFIC RIDGE MEDICAL ASSOCIATES, INC.

Practice address

25401 Cabot Rd Ste 101
Laguna Hills, CA 92653-5513

Phone

(949) 768-4850

Fax

(949) 215-9630

NPI assigned

Dec 14, 2006

Last updated

Dec 22, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

PACIFIC RIDGE MEDICAL ASSOCIATES, INC.As reported in NPPES

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

Authorized official

Name

Dr. Alan Y Lo, MDNPI 1982683637

Title

Vice President

Phone

(949) 422-2589

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

Part of

Pacific Ridge Medical Associates Inc

Locations

Practitioners 4

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.

• Alan Y Lo, MD

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1982683637
  Medicare reassignment NPD Authorized official
• Judy Minh-Hang Huynh, D.O.

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1316934284
  NPD (past)
• Gayle Michelle Kookootsedes, M.D.

  • Rheumatology Physician
  • San Diego, CA
  • NPI 1720428048
  NPD (past)
• Robert Peter Lazatin, M.D.

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1700865755
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1114089257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD STE 101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535513",
            "telephone_number": "949-768-4850",
            "fax_number": "949-215-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25401 CABOT RD STE 101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535513",
            "telephone_number": "949-768-4850",
            "fax_number": "949-215-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RIDGE MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC RIDGE MEDICAL ASSOCIATES, INC.",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "949-422-2589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "2425685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Salurio Pabalan, PTA
• Domarina E Pace, D.C.
• Corey Pachorek
• Pacific Hills Surgery Center LLC
• Pacific Hills Surgery Center, Inc.
• Pacific Therapeutic Services Inc (Pacific Therapeutics)
• Pacific Thoracic Surgery
• Pacific View Detox, LLC (First Choice Detox)
• Joanne G. Pagal, DO
• Brian D Page, P.A.

• Primary Care Clinic/Center in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.