NPIMap

Organization Active NPI

Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1770015901
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
Practice address
8590 Rio San Diego Dr
Suite 111
San Diego, CA 92108-5507
Phone
(855) 362-9773
NPI assigned
Mar 28, 2017
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, MDNPI 1629606173
Title
Medical Director
Phone
(855) 362-9773

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

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

Addresses

Primary practice location

8590 Rio San Diego Dr
Suite 111
San Diego, CA 92108-5507

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
O20240920000927 CA DME Supplier - Multi-Specialty - PhysicianDME Supplier - Unknown Supplier/Provider 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
05D2136270Afc Urgent Care San Diego8590 Rio San Diego Dr Ste 111, San Diego, CA 92108Certificate of waiverSep 5, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Afc Urgent Care San Diego8590 Rio San Diego Dr, San Diego, CA 92108-5597(619) 736-4600 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
Tax ID family
Somagen Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8590 Rio San Diego Dr
San Diego, CA 92108

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1770015901",
    "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": "8590 RIO SAN DIEGO DR",
            "address_2": "SUITE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085507",
            "telephone_number": "855-362-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMAGEN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "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.