NPIMap

Organization Active NPI

Somagen Healthcare Inc

Doing business as AFC Urgent Care San Diego

  • Urgent Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1558788620
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
SOMAGEN HEALTHCARE INC
Doing business as
AFC Urgent Care San Diego
Practice address
5671 Balboa Ave
San Diego, CA 92111-2705
Phone
(858) 800-2880
Fax
(619) 569-2590
NPI assigned
Mar 26, 2014
Last updated
Jul 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Daniel Lareaux, MD
Title
Medical Director
Phone
(855) 362-9773

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Urgent Care Clinic/Center 261QU0200X NU Primary
Occupational Medicine Clinic/Center 261QX0100X NU

Addresses

Primary practice location

5671 Balboa Ave
San Diego, CA 92111-2705

Mailing address

750 Otay Lakes Rd # 272
Chula Vista, CA 91910-6915
Phone (855) 362-9773

Other names 1

  • AFC Urgent Care San Diego Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110817000276 CA Part B Supplier - Clinic/Group Practice 1557530151 Receives reassigned benefits from 57 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Diego, CA; Santee, CA; Granada Hills, CA; Chula Vista, CA
O20241008003084 CA DME Supplier - Multi-Specialty - PhysicianDME Supplier - Other 1557530151 Practice locations: San Diego, CA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2080737Afc Urgent Care San Diego5671 Balboa Ave, San Diego, CA 92111Certificate of waiverJul 13, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Afc Urgent Care San Diego5671 Balboa Ave, San Diego, CA 92111-2705(858) 800-2880 Heat & Cold Applications|Canes and/or Crutches|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies|Surgical Dressings Accepts assignmentParticipating since Jul 10, 2011

National Provider Directory

National Provider Directory

Locations

760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1558788620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 OTAY LAKES RD # 272",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106915",
            "telephone_number": "855-362-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112705",
            "telephone_number": "858-800-2880",
            "fax_number": "619-569-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMAGEN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "LAREAUX",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "855-362-9773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.