Active NPI
John Sanguedolce, M.D.
- Family Medicine Physician
- Laguna Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A169316
- Practice address
- 310 Glenneyre St
Laguna Beach, CA 92651-2311 - Phone
- (949) 209-9266
- Fax
- (949) 209-9267
- NPI assigned
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A169316 | CA | Primary |
Addresses
Primary practice location
310 Glenneyre St
Laguna Beach, CA 92651-2311
Mailing address
310 Glenneyre St
Laguna Beach, CA 92651-2311
Phone (949) 209-9266
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
310 Glenneyre St
Laguna Beach, CA 92651-2311
Phone (949) 209-9266
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 43 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A169316 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Caduceus Physicians Medical Group | Family Medicine | Current | Accepting new patients |
| Dolcemd a California Professional Medical Corporation | Family Medicine | Current | Accepting new patients |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients |
Locations
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545
32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922
6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377
333 Thalia St
Laguna Beach, CA 92651
Phone (949) 499-0577
310 Glenneyre St
Laguna Beach, CA 92651
Phone (949) 209-9266
41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585
18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886
18200 Yorba Linda Blvd
Ste 308
Yorba Linda, CA 92886
Phone (714) 646-8070
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHIDDD/Endpoint/CHIDDD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Laguna Beach, CA
- NPI 1548012651
-
- Family Medicine Physician
- Yorba Linda, CA
- NPI 1497702724
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1629442728
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1336672393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 GLENNEYRE ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512311",
"telephone_number": "949-209-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 GLENNEYRE ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512311",
"telephone_number": "949-209-9266",
"fax_number": "949-209-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGUEDOLCE",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2024-08-08",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A169316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.