South Coast Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTH COAST MEDICAL CENTER

Practice address

31872 Coast Hwy
Laguna Beach, CA 92651-6773

Phone

(949) 499-1311

Fax

(949) 499-7277

NPI assigned

Dec 15, 2005

Organization subpart

Yes

Parent organization

SOUTH COAST MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Janet Baker

Title

Chief Financial Officer

Phone

(949) 499-1311

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

South Coast Medical Ctr

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• South Coast Medical Center

  • Home Health Agency
  • Laguna Beach, CA
  • NPI 1235115874
  NPPES parent name

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740266394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31872 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516773",
            "telephone_number": "949-499-1311",
            "fax_number": "949-499-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31872 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516773",
            "telephone_number": "949-499-1311",
            "fax_number": "949-499-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH COAST MEDICAL CENTER",
        "enumeration_date": "2005-12-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "949-499-1311"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC70103F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soul Path Wellness Inc.
• South Coast Eye Care Centers
• South Coast Medical Center
• South Coast Medical Center
• South Coast Medical Center
• South Coast Urogynecology Inc
• South Coast Urogynecology Inc (South Coast Urogynecology)
• Southern California Mobile X-Ray, LLC. (Alert Mobile Diagnostics)
• Spencer Recovery Centers, Inc.
• SS Bederman MD Inc a Professional Medical Corporation

• Skilled Nursing Facility in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.