PACIFIC COAST HEART CENTER A PROFESSIONAL MEDICAL CORP (NPI# 1841416435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841416435 |
| Entity Type | Organization |
| Organization Name | PACIFIC COAST HEART CENTER A PROFESSIONAL MEDICAL CORP |
| Practice Address |
30131 Town Center Dr Suite 237 Laguna Niguel CA 92677 |
| Practice Telephone | 9494950800 |
| Practice Fax Number | 9494950805 |
| Mailing Telephone | 9494950800 |
| Mailing Fax Number | 9494950805 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-11-22 |
| Authorized Official Name | CHRISTINE M. THEARD (PRESIDENT) |
| Authorized Official Telephone | 9494950800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE INDIVIDUAL PTAN | WC50353A | 01 |
| Street Address |
30131 TOWN CENTER DR SUITE 237 |
| City | LAGUNA NIGUEL |
| State | CA |
| Zip Code | 92677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219595 | Angela Calton | Specialist | 30131 Town Center Dr, Suite 250, Laguna Niguel, CA 92677-2034 | 2005-07-18 |
| 1356701965 | Dr Susan Pazak Psychological Services | Community/Behavioral Health | 30131 Town Center Dr, Suite 280, Laguna Niguel, CA 92677-2034 | 2016-02-25 |
| 1558747816 | Brandan Althof | Dentist | 30131 Town Center Dr, Laguna Niguel, CA 92677-2034 | 2015-08-09 |
| 1073916441 | Stacy Lavino | Marriage & Family Therapist | 30131 Town Center Dr, Suite #292, Laguna Niguel, CA 92677-2034 | 2014-09-30 |
| 1366858615 | Pediatric Neurology of Orange County, PC | Clinic/Center | 30131 Town Center Dr, Suite 245, Laguna Niguel, CA 92677-2034 | 2014-07-08 |
| 1174949408 | Norman F. Huefner Dmd A Prof Corp | Dentist | 30131 Town Center Dr, 160, Laguna Niguel, CA 92677-2034 | 2014-03-11 |
| 1508292491 | Teresa Geldmacher | Marriage & Family Therapist | 30131 Town Center Dr, #292, Laguna Niguel, CA 92677-2034 | 2013-09-24 |
| 1326482225 | Andrew R. Mcintosh, M.d. Inc. | Technician, Other | 30131 Town Center Dr, Suite 195, Laguna Niguel, CA 92677-2034 | 2013-04-22 |
| 1174861108 | Leisure Care Home Care Agency, Inc | Custodial Care Facility | 30131 Town Center Dr, Suite 205, Laguna Niguel, CA 92677-2034 | 2013-01-25 |
| 1861764854 | Melissa Przeklasa Auth Md Professional Corporation | Psychiatry & Neurology | 30131 Town Center Dr, 195, Laguna Niguel, CA 92677-2034 | 2012-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114566049 | Amber Kramer | Physical Therapist | 30100 Town Center Drive #yz, Laguna Niguel, CA 92677 | 2019-12-23 |
| 1811548340 | Morgan Peikar | Rehabilitation Hospital | 28441 Springfield Dr, Laguna Niguel, CA 92677 | 2019-09-25 |
| 1871056382 | Jacqueline Evamarie Serrano | Chiropractor | 28062 Forbes Road, Laguna Niguel, CA 92677 | 2019-04-11 |
| 1316408859 | Azadeh Ghafari | Social Worker | 30100 Town Center Dr # 179, Laguna Niguel, CA 92677 | 2019-03-27 |
| 1346741857 | Diana Wang | Physical Medicine & Rehabilitation | 30100 Town Center Drive Suite, Suite Yz, Laguna Niguel, CA 92677 | 2018-02-21 |
| 1750833554 | James H. Tran Dds, Dental Corp. | Dentist | 23876 Aliso Creek Road, Laguna Niguel, CA 92677 | 2016-10-27 |
| 1215486139 | Kevin Sun | Dentist | 49 Blue Horizon, Laguna Niguel, CA 92677 | 2016-10-04 |
| 1740637842 | Michael Dacosta | Dentist | 28862 Calle Vista, Laguna Niguel, CA 92677 | 2016-05-18 |
| 1235590373 | Adrian Gomez | Counselor | 24361 Nugget Falls Ln, Laguna Niguel, CA 92677 | 2016-03-17 |
| 1427455906 | Gracie Heart Home Health LLC | Home Health | 24318 El Pilar, Laguna Niguel, CA 92677 | 2014-11-26 |
| Find all providers in zip 92677 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902003791 | South Coast Family Medical Center Inc | Clinic/Center | 25500 Rancho Niguel Rd Ste 100, Laguna Niguel, CA 92677-7373 | 2007-06-27 |
| 1366858615 | Pediatric Neurology of Orange County, PC | Clinic/Center | 30131 Town Center Dr, Suite 245, Laguna Niguel, CA 92677-2034 | 2014-07-08 |
| 1245423946 | William F. Lyon | Clinic/Center | 30110 Crown Valley Pkwy, Laguna Niguel, CA 92677-2043 | 2007-08-25 |
| 1770653289 | Mission Viejo Medical Clinic | Clinic/Center | 30110 Crown Valley Pkwy, Laguna Niguel, CA 92677-2043 | 2006-11-09 |
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| Find all providers with the same taxonomy | ||||
| City | LAGUNA NIGUEL |
| Zip Code | 92677 |
Please comment or provide details below to improve the information on PACIFIC COAST HEART CENTER A PROFESSIONAL MEDICAL CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.