NPIMap

La Laser Center, PC, a Professional Medical Corporation

Organization Active NPI Multi-Specialty Clinic/Center · San Clemente, CA

NPI 1306982855 · NPPES record last updated May 5, 2026

Key facts

NPI
1306982855
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
LA LASER CENTER, PC, A PROFESSIONAL MEDICAL CORPORATION
Practice address
161 Avenida Vaquero
San Clemente, CA 92672-3601
Phone
(949) 652-3095
NPI assigned
Jan 30, 2007
Organization subpart
No

Authorized official

Name
Dr. Daniel Taheri, MD NPI 1992774681
Title
Owner
Phone
(661) 388-5240

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 143

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

View all 143

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA, AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20051222000459 CA Part B Supplier - Clinic/Group Practice 9537181185 Receives reassigned benefits from 69 practitioners
Practice locations: Tehachapi, CA; Redding, CA; Stevenson Ranch, CA; Santa Maria, CA; San Luis Obispo, CA; San Francisco, CA; San Clemente, CA; Ridgecrest, CA…
O20160111002432 AZ Part B Supplier - Clinic/Group Practice 9537181185 Receives reassigned benefits from 52 practitioners
Practice locations: Gilbert, AZ; Sun City West, AZ; Phoenix, AZ; Mesa, AZ; Maricopa, AZ; Lake Havasu City, AZ; Kingman, AZ; Goodyear, AZ…

National Provider Directory

Locations (25 of 50)

2755 Silver Creek Rd
Ste 205
Bullhead City, AZ 86442
Phone (702) 518-0137

6145 W Chandler Blvd
Chandler, AZ 85226

6145 W Chandler Blvd
Ste 2
Chandler, AZ 85226
Phone (480) 454-8744

1330 N Rim Dr
Ste A
Flagstaff, AZ 86001
Phone (888) 993-3761

2730 S Val Vista Dr
Bldg 12
Gilbert, AZ 85295

700 N Estrella Pkwy
Ste 205
Goodyear, AZ 85338
Phone (623) 265-6267

3939 N Stockton Hill Rd
#205
Kingman, AZ 86409

2116 N Stockton Hill Rd
Ste F
Kingman, AZ 86401
Phone (928) 662-9302

3939 N Stockton Hill Rd
Ste 205
Kingman, AZ 86409

21300 N John Wayne Pkwy
#8
Maricopa, AZ 85139

21300 N John Wayne Pkwy
Bldg 8
Maricopa, AZ 85139

4140 E Baseline Rd
Ste 110
Mesa, AZ 85206
Phone (480) 539-0777

3035 S Ellsworth Rd
Ste 121
Mesa, AZ 85212
Phone (480) 280-7229

20414 N 27th Ave
Ste 215
Phoenix, AZ 85027
Phone (623) 289-3210

13613 W Camino del Sol
Sun City West, AZ 85375
Phone (623) 584-7154

310 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (510) 917-2334

5600 California Ave
#101
Bakersfield, CA 93309

8311 Brimhall Rd
Unit 1900
Bakersfield, CA 93312

8605 Camino Media
Bakersfield, CA 93311

8605 Camino Media
Ste 300
Bakersfield, CA 93311
Phone (661) 322-2700

300 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-4700

621 W Line St
Bishop, CA 93514

621 W Line St
Ste 105
Bishop, CA 93514
Phone (760) 873-8781

6181 N Thesta St
Ste 104
Fresno, CA 93710
Phone (559) 418-5000

400 N Irwin St
Ste 101
Hanford, CA 93230

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207N00000X
MOHS-Micrographic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207ND0101X
Dermatopathology (Pathology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207ZD0900X
Radiation Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0001X
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

161 Avenida Vaquero
San Clemente, CA 92672-3601

Mailing address

PO Box 16297
Beverly Hills, CA 90209-2297
Phone (661) 388-5240

Other practice location 1

6145 W Chandler Blvd Ste 3
Chandler, AZ 85226-3425
Phone (480) 454-8744

Other practice location 2

186 N Main St
Bishop, CA 93514-2737
Phone (760) 873-8781

Other practice location 3

2585 Miracle Mile Ste 120
Bullhead City, AZ 86442-7562
Phone (928) 514-2231

Other practice location 4

125 N Church St
Lodi, CA 95240-2102
Phone (209) 860-3020

Other practice location 5

310 S Halcyon Rd Ste 106
Arroyo Grande, CA 93420-3863
Phone (805) 568-7800

Other practice location 6

13613 W Camino Del Sol Ste 1
Sun City West, AZ 85375-4480
Phone (480) 757-9854

Other practice location 7

22717 S Ellsworth Rd Ste B101
Queen Creek, AZ 85142-7572
Phone (888) 993-3761

Other practice location 8

3008 N Dobson Rd
Chandler, AZ 85224-1295
Phone (480) 535-2424

Other practice location 9

700 N Estrella Pkwy Ste 205
Goodyear, AZ 85338-9330
Phone (623) 265-6267

Other practice location 10

631 W Avenue Q Ste B
Palmdale, CA 93551-3892
Phone (661) 947-9000

Other practice location 11

276 S Mill St Ste B&c
Tehachapi, CA 93561-1677
Phone (661) 947-9000

Other practice location 12

3105 McHenry Ave Ste 101
Modesto, CA 95350-1439
Phone (209) 575-2700

Other practice location 13

123 Margaret Ln Ste A1
Grass Valley, CA 95945-5268
Phone (530) 285-1940

Other practice location 14

300 Old River Rd Ste 120
Bakersfield, CA 93311-9512
Phone (661) 322-2700

Other practice location 15

400 N Irwin St
Hanford, CA 93230-4426
Phone (559) 584-2700

Other practice location 16

981 E Tuolumne Rd Ste 104
Turlock, CA 95382-1544
Phone (209) 454-0494

Other practice location 17

1317 Main St Ste B
Delano, CA 93215-1737
Phone (661) 430-9070

Other practice location 18

3035 S Ellsworth Rd Ste 121
Mesa, AZ 85212-2137
Phone (888) 993-3761

Other practice location 19

1200 N China Lake Blvd Ste A
Ridgecrest, CA 93555-2665
Phone (760) 446-9007

Other practice location 20

3939 N Stockton Hill Rd Ste A
Kingman, AZ 86409-3247
Phone (928) 662-9302

Other practice location 21

40663 Murrieta Hot Springs Rd Ste C3
Murrieta, CA 92562-9015
Phone (951) 677-5341

Other practice location 22

74320 Highway 111
Palm Desert, CA 92260-4140
Phone (760) 423-5610

Other practice location 23

6181 N Thesta St Ste 104
Fresno, CA 93710-8604
Phone (559) 825-0300

Other practice location 24

2409 Artesia Blvd
Redondo Beach, CA 90278-3207
Phone (424) 400-7722

Other practice location 25

10884 Santa Monica Blvd Fl 3
Los Angeles, CA 90025-7638
Phone (310) 446-4400

Other practice location 26

1330 N Rim Dr Ste A
Flagstaff, AZ 86001-3138
Phone (888) 993-3761

Other practice location 27

1842 Buenaventura Blvd
Redding, CA 96001-3700
Phone (530) 986-9160

Other practice location 28

1840 Mesquite Ave Ste G102
Lake Havasu City, AZ 86403-5771
Phone (928) 719-8400

Other practice location 29

728 Pacific Ave Ste 604
San Francisco, CA 94133-4449
Phone (888) 993-3761

Other practice location 30

5600 California Ave Ste 101
Bakersfield, CA 93309-1614
Phone (661) 322-2700

Other practice location 31

652 W 11th St Ste 129
Tracy, CA 95376-3869
Phone (209) 575-2700

Other practice location 32

1025 N Demaree St
Visalia, CA 93291-4117
Phone (559) 931-0800

Other practice location 33

4140 E Baseline Rd Ste 110
Mesa, AZ 85206-4413
Phone (623) 267-5025

Other practice location 34

25802 Hemingway Ave Ste 105
Stevenson Ranch, CA 91381-2391
Phone (661) 284-2600

Other practice location 35

14940 W Indian School Rd Ste 420
Goodyear, AZ 85395-7307
Phone (623) 250-3090

Other practice location 36

20414 N 27th Ave Ste 215
Phoenix, AZ 85027-3250
Phone (623) 289-3210

Other identifiers

IdentifierTypeStateIssuer
247778MedicaidAZ

Other providers in San Clemente, CA

All providers in San Clemente, CA · Multi-Specialty Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.