Laguna Beach Urgent Care, Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

A95190 Issued in CA

Legal business name

LAGUNA BEACH URGENT CARE, INC.

Doing business as

Surfside Urgent Care of Laguna Beach

Practice address

32341 Coast Hwy
Laguna Beach, CA 92651-6701

Phone

(909) 981-9800

Fax

(909) 946-3937

NPI assigned

Mar 30, 2016

Last updated

Feb 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc Howard Shomer, MDNPI 1457457483

Title

Ceo

Phone

(909) 981-9800

Specialties & licenses 1

Addresses

Other names 1

• Surfside Urgent Care of Laguna Beach Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Advanced Medical and Urgent Care Center

  • Urgent Care Clinic/Center
  • Upland, CA
  • NPI 1922339092

  Member Of

  NPD member
• Marc H. Shomer, MD, PHD, Inc

  • Multi-Specialty Clinic/Center
  • Upland, CA
  • NPI 1427380070

  Member Of

  NPD member
• Pasadena Urgent Care, Inc

  dba Advanced Urgent Care of Pasadena

  • Urgent Care Clinic/Center
  • Pasadena, CA
  • NPI 1265854673

  Member Of

  NPD member

Practitioners 3

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.

• Marc Howard Shomer, M.D., PH.D.

  • Ophthalmology Physician
  • Upland, CA
  • NPI 1457457483
  Medicare reassignment Care Compare group Authorized official
• Allen Houshiar, DO, MS

  • Family Medicine Physician
  • Orange, CA
  • NPI 1427076272
  Medicare reassignment Care Compare group NPD
• Brent Ridder, M.D.

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1730120163
  Medicare reassignment NPD

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1710340559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1075",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926295075",
            "telephone_number": "909-981-9800",
            "fax_number": "909-946-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32341 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516701",
            "telephone_number": "909-981-9800",
            "fax_number": "909-946-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGUNA BEACH URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "SHOMER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-981-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "A95190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surfside Urgent Care of Laguna Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surfside Urgent Care of Laguna Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laguna Beach Recovery
• Laguna Beach Recovery LLC (Laguna Beach Recovery)
• Laguna Beach Recovery LLC
• Laguna Beach Rehab Inc
• Laguna Beach Treatment (Laguna Beach Recovery)
• Laguna Beach Usd
• Laguna Detox
• Laguna Detox
• Laguna DX Inc
• Laguna Eyes Optometry PC

• Urgent Care Clinic/Center in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.