Active NPI
Laguna Vein Center Inc.
- Cardiovascular Disease Physician
- Laguna Hills, CA
National Provider Identifier
1801352265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- LAGUNA VEIN CENTER INC.
- Doing business as
- Laguna Vein Center
- Practice address
- 24902 Moulton Pkwy Ste 200
Laguna Hills, CA 92637-6403 - Phone
- (949) 305-5165
- Fax
- (949) 485-6229
- NPI assigned
- Feb 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John D. Baker, MD
- Title
- President
- Phone
- (877) 924-9009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
24902 Moulton Pkwy Ste 200
Laguna Hills, CA 92637-6403
Mailing address
4790 Irvine Blvd Ste 105-141
Irvine, CA 92620-1973
Phone (877) 924-9009
Other practice location 1
23961 Calle De La Magdalena Ste 517
Laguna Hills, CA 92653-7628
Phone (949) 264-4213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124022850 | Other | CA | NPI |
Other names 1
- Laguna Vein Center
National Provider Directory
National Provider DirectoryLocations
4790 Irvine Blvd
Ste 105141
Irvine, CA 92620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550880000000",
"number": "1801352265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4790 IRVINE BLVD STE 105-141",
"city": "IRVINE",
"state": "CA",
"postal_code": "926201973",
"telephone_number": "877-924-9009",
"fax_number": "949-485-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24902 MOULTON PKWY STE 200",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926376403",
"telephone_number": "949-305-5165",
"fax_number": "949-485-6229"
}
],
"practiceLocations": [
{
"address_1": "23961 Calle De La Magdalena Ste 517",
"address_purpose": "LOCATION",
"city": "Laguna Hills",
"state": "CA",
"postal_code": "926537628",
"country_code": "US",
"telephone_number": "949-264-4213",
"fax_number": "949-485-6229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LAGUNA VEIN CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-23",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "877-924-9009",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1124022850",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Laguna Vein Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Laguna Vein Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.