LAGUNA TREATMENT HOSPITAL, LLC (NPI# 1063860534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063860534 |
| Entity Type | Organization |
| Organization Name | LAGUNA TREATMENT HOSPITAL, LLC |
| Practice Address |
24552 Pacific Park Dr Aliso Viejo CA 92656 |
| Mailing Address |
200 Powell Pl Brentwood TN 37027-7514 |
| Practice Telephone | 9494460097 |
| Practice Fax Number | 6154578094 |
| Mailing Telephone | 6157278392 |
| Mailing Fax Number | 6154578094 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2018-07-20 |
| Authorized Official Name | MICHAEL CARTWRIGHT (CHAIRMAN) |
| Authorized Official Telephone | 6157278392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 283X00000X | Rehabilitation Hospital | 550003560 | CA | Hospitals |
| Y | 284300000X | Special Hospital | 550003560 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| THE JOINT COMMISSION | 591319 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAGUNA TREATMENT HOSPITAL, LLC | 24552 Pacific Park Dr, Aliso Viejo, CA 92656-3033 |
| Street Address |
24552 PACIFIC PARK DR |
| City | ALISO VIEJO |
| State | CA |
| Zip Code | 92656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417108085 | Prism Health Inc. | Assisted Living Facility | 24552 Pacific Park Dr, Elderly Assisted Living/memory Care-dimentia, Aliso Viejo, CA 92656 | 2008-10-01 |
| 1699220004 | San Diego Professional Group, P. C. | Psychologist | 24552 Pacific Park Dr, Aliso Viejo, CA 92656-3033 | 2016-08-16 |
| 1275986077 | Ashley Yusam | Physician Assistant | 24552 Pacific Park Dr, Aliso Viejo, CA 92656-3033 | 2016-07-15 |
| 1104273309 | Yen Anker | Nurse Practitioner | 24552 Pacific Park Dr, Aliso Viejo, CA 92656 | 2016-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818042 | Cynthia K Vu | Pharmacist | 5 Journey 140, Aliso Viejo, CA 92656 | 2020-07-15 |
| 1275175127 | Anavah Stephens | Student in an Organized Health Care Education/Training Program | 53 Southern Hills Dr, Aliso Viejo, CA 92656 | 2019-10-11 |
| 1427567288 | Rhonda Cheikh | Behavioral Analyst | 175 Woodcrest Ln, Aliso Viejo, CA 92656 | 2017-09-25 |
| 1407305253 | Iman Ashlee Habbas | Social Worker | 5 Mareblu # 100, Aliso Viejo, CA 92656 | 2016-09-21 |
| 1023463692 | Julie Lynn Vuksic | Dietitian, Registered | 34 Prairie Falcon, Aliso Viejo, CA 92656 | 2016-05-02 |
| 1326493396 | Allen Han | Acupuncturist | 1 Remington Lane, Aliso Viejo, CA 92656 | 2016-04-27 |
| 1588027288 | Shawn Kaye | Internal Medicine | 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 | 2016-03-30 |
| 1528464443 | Lauren Harness | Occupational Therapy Assistant | 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 | 2014-11-05 |
| 1700200417 | Cornel Crasnean Dds | Dentist | 26888 B South La Paz Road, Aliso Viejo, CA 92656 | 2014-02-17 |
| 1215350467 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation | Dentist | 15 Mareblu Suite 360, Aliso Viejo, CA 92656 | 2014-01-23 |
| Find all providers in zip 92656 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053857706 | 5 Direction Integrative Veterinary Care | Special Hospital | 32 Ulloa St, San Francisco, CA 94127-1218 | 2017-01-18 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1821458662 | Poodles Inc | Special Hospital | 1333 9th Ave, San Francisco, CA 94122-2308 | 2016-03-04 |
| 1588023824 | Sue K Morizi | Special Hospital | 7527 Draper Ave, La Jolla, CA 92037-4802 | 2016-02-15 |
| 1831561307 | Willow Buckley | Special Hospital | 1840 Gatepost Rd, Encinitas, CA 92024-3021 | 2015-10-23 |
| 1063893741 | Patricia Piper | Special Hospital | 6422 Old Redwood Hwy, Santa Rosa, CA 95403-1158 | 2015-06-17 |
| 1225416365 | Kristen Yee Md PC | Special Hospital | 1111 Sonoma Ave Ste 112, Santa Rosa, CA 95405-4813 | 2015-05-08 |
| 1326438813 | Amalia Zacher | Special Hospital | 7160 Santa Teresa Blvd, San Jose, CA 95139-1349 | 2015-02-04 |
| 1962800870 | June K Chang | Special Hospital | 4000 W Riverside Dr, B, Burbank, CA 91505-4328 | 2014-12-09 |
| 1174921092 | Hired Power Transitional Living Center LLC | Special Hospital | 21062 Brookhurst St Ste 201, Huntington Beach, CA 92646-7404 | 2014-12-09 |
| Find all providers with the same taxonomy | ||||
| City | ALISO VIEJO |
| Zip Code | 92656 |
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| 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.