Individual provider Active NPI

John Sanguedolce, M.D.

  • Family Medicine Physician
  • Laguna Beach, CA
National Provider Identifier
1336672393
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A169316 Issued in CA
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

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824001385 CA Practitioner - Family Practice 8729315486 Reassigns benefits to 3 organizations

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions43
Removal or shaving of skin growth1-10
Skin biopsy22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A169316CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Aug 1, 2023 Accepting new patients
Caduceus Physicians Medical Group Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Dolcemd a California Professional Medical Corporation Family Medicine CurrentSince Sep 30, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Aug 1, 2023 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.