NPIMap

Organization Active NPI

Orange Coast Head and Neck Surgery

  • Otolaryngology Physician
  • Laguna Beach, CA
National Provider Identifier
1457750176
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A77461 Issued in CA
Legal business name
ORANGE COAST HEAD AND NECK SURGERY
Practice address
31862 Coast Hwy
Suite 302
Laguna Beach, CA 92651-6769
Phone
(949) 715-0500
Fax
(949) 715-0503
NPI assigned
Aug 19, 2014
Last updated
Aug 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Authorized official

Name
Laura Renteria
Title
Office Manager
Phone
(949) 715-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A77461 CA Primary

Addresses

Primary practice location

31862 Coast Hwy
Suite 302
Laguna Beach, CA 92651-6769

Mailing address

31862 Coast Hwy
Suite 302
Laguna Beach, CA 92651-6769
Phone (949) 715-0500

National Provider Directory

National Provider Directory
Tax ID family
Orange Coast Head and Neck2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1457750176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY",
            "address_2": "SUITE 302",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-715-0500",
            "fax_number": "949-715-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY",
            "address_2": "SUITE 302",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-715-0500",
            "fax_number": "949-715-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COAST HEAD AND NECK SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "RENTERIA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-715-0500"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A77461",
            "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 19, 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.