Lantern of Crescent City, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LANTERN OF CRESCENT CITY, LLC

Practice address

4 S Stonington Rd
Laguna Beach, CA 92651-6741

Phone

(949) 445-1000

NPI assigned

Dec 9, 2014

Organization subpart

Yes

Parent organization

SRSO, LLCAs reported in NPPES

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

Authorized official

Name

Spencer Robert Samuelian

Title

Manager

Phone

(949) 445-1000

Specialties & licenses 1

Addresses

Other names 1

• Lantern Health Crescent City Doing business as

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1174921050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S STONINGTON RD",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516741",
            "telephone_number": "949-445-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S STONINGTON RD",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516741",
            "telephone_number": "949-445-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTERN OF CRESCENT CITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRSO, LLC",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "SAMUELIAN",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "949-445-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lantern Health Crescent City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laguna Med Spa, Professional Corporation
• Laguna Pathology Medical Group
• Laguna Sports Physical Therapy P.C.
• Laguna Surgery Institute LLC
• Laguna View Center, LLC
• Regine Marie Lapitan, NP
• Anne Elizabeth Laptin, M.S., LCSW
• Marianne A Lawson, MA, PPS
• Andrew Lazere, M.D.
• Phillip Nguyen Leblanc, PHARM.D.

• Skilled Nursing Facility in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.