Organization Active NPI

Laguna SC

  • Ambulatory Surgical Clinic/Center
  • Fullerton, CA
National Provider Identifier
1124441852
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jan 31, 2014

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.NPI 1861430902
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2077100Laguna SC150 Laguna Rd Ste B, Fullerton, CA 92835Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.