Active NPI
South Coast Medical Center
- Psychiatric Hospital Unit
- Laguna Beach, CA
National Provider Identifier
1336125970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- SOUTH COAST MEDICAL CENTER
- Practice address
- 31872 Coast Hwy
Laguna Beach, CA 92651-6773 - Phone
- (949) 499-1311
- NPI assigned
- Dec 15, 2005
- Organization subpart
- Yes
- Parent organization
- SOUTH COAST MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry Pugh
- Title
- Chief Financial Officer
- Phone
- (949) 499-1311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | CA | Primary |
Addresses
Primary practice location
31872 Coast Hwy
Laguna Beach, CA 92651-6773
Mailing address
31872 Coast Hwy
Laguna Beach, CA 92651-6773
Phone (949) 499-1311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSM30193F | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- Roy a Stambaugh MD Inc
Locations
23041 Avenida de la Carlota
Ste 200
Laguna Hills, CA 92653
Phone (949) 595-2480
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Laguna Beach, CA
- NPI 1235115874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233014400000",
"number": "1336125970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31872 COAST HWY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516773",
"telephone_number": "949-499-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31872 COAST HWY",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926516773",
"telephone_number": "949-499-1311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH COAST MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTH COAST MEDICAL CENTER",
"enumeration_date": "2005-12-15",
"last_updated": "2009-01-27",
"status": "A",
"authorized_official_last_name": "PUGH",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "949-499-1311"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSM30193F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Beach, CA
- Socal Detox, LLC (Socal Detox)
- Solace Recovery
- Soul Path Wellness Inc.
- South Coast Eye Care Centers
- South Coast Medical Center
- South Coast Medical Center
- South Coast Medical Center
- South Coast Urogynecology Inc
- South Coast Urogynecology Inc (South Coast Urogynecology)
- Southern California Mobile X-Ray, LLC. (Alert Mobile Diagnostics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.