Active NPI
Laguna SC
- Ambulatory Surgical Clinic/Center
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- LAGUNA SC
- Practice address
- 150 Laguna Rd
Suite B
Fullerton, CA 92835-3614 - Phone
- (714) 525-8822
- NPI assigned
- Jan 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wei W Kwok, M.D.
- Title
- President
- Phone
- (714) 525-8822
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 |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
150 Laguna Rd
Suite B
Fullerton, CA 92835-3614
Mailing address
150 Laguna Rd
Suite B
Fullerton, CA 92835-3614
Phone (714) 525-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140703001018 | CA | Part B Supplier - Ambulatory Surgical Center | 8022233121 | Practice locations: Fullerton, CA |
Ambulatory surgical center certification: CCN 05C0002069
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LAGUNA SC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Feb 17, 2015
- Last certification
- Jul 27, 2021
- Ownership / control type
- Proprietary
- Facility address
- 150 Laguna Road Ste # B
Fullerton, CA 92835
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2077100 | Laguna SC | Certificate of waiver | Jun 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
150 Laguna Rd
Ste B
Fullerton, CA 92835
Phone (714) 871-9784
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Fullerton, CA
- NPI 1861430902
-
- Interventional Pain Medicine Physician
- Fullerton, CA
- NPI 1285856609
-
- Anesthesiology Physician
- Fullerton, CA
- NPI 1760574198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391126400000",
"number": "1124441852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LAGUNA RD",
"address_2": "SUITE B",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353614",
"telephone_number": "714-525-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LAGUNA RD",
"address_2": "SUITE B",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353614",
"telephone_number": "714-525-8822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAGUNA SC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-31",
"last_updated": "2014-01-31",
"status": "A",
"authorized_official_last_name": "KWOK",
"authorized_official_first_name": "WEI",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-525-8822",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.