GARY L. SUGARMAN,M.D.,INC. (NPI# 1295818565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295818565 |
| Entity Type | Organization |
| Organization Name | GARY L. SUGARMAN,M.D.,INC. |
| Practice Address |
25411 Cabot Rd Suite 105 Laguna Hills CA 92653-5520 |
| Practice Telephone | 9498299333 |
| Practice Fax Number | 9498299210 |
| Mailing Telephone | 9498299333 |
| Mailing Fax Number | 9498299210 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | DR. GARY LOUIS SUGARMAN (PRESIDENT) |
| Authorized Official Telephone | 9498299333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
G81230 | CA | Ambulatory Health Care Facilities |
| Street Address |
25411 CABOT RD SUITE 105 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972592020 | Sandra Jorgensen | Psychologist | 25411 Cabot Rd, Suite 107, Laguna Hills, CA 92653-5520 | 2005-10-20 |
| 1881234540 | Leonel Martinez | Behavior Technician | 25411 Cabot Rd, Laguna Hills, CA 92653-5520 | 2020-01-10 |
| 1265679237 | Sylvia B. Lane | Social Worker | 25411 Cabot Rd, Suite 107, Laguna Hills, CA 92653-5520 | 2009-01-13 |
| 1144466384 | Kelly Portnoff, M.d., Inc. | Internal Medicine | 25411 Cabot Rd, Suite 109, Laguna Hills, CA 92653-5520 | 2008-12-17 |
| 1124200084 | Sandra M. Klonsky | Marriage & Family Therapist | 25411 Cabot Rd, Suite 107, Laguna Hills, CA 92653-5520 | 2007-12-03 |
| 1720268980 | Vitaliy Shaulov, Md, Inc | Marriage & Family Therapist | 25411 Cabot Rd, Suite 116, Laguna Hills, CA 92653-5520 | 2007-11-05 |
| 1942383203 | Gary Louis Sugarman | Internal Medicine | 25411 Cabot Rd, Suite 105, Laguna Hills, CA 92653-5520 | 2006-10-23 |
| 1902999576 | Schahrokh Fatehi | Dentist | 25411 Cabot Rd, Suite #108, Laguna Hills, CA 92653-5520 | 2006-10-02 |
| 1801987037 | Arthritis Center of Southern Orange County | Specialist | 25411 Cabot Rd, Suite 112, Laguna Hills, CA 92653-5520 | 2006-09-26 |
| 1629179536 | Mark Jason | Specialist | 25411 Cabot Rd, Suite 112, Laguna Hills, CA 92653-5520 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356710438 | Paul John Licata Md | Clinic/Center | 25431 Cabot Rd, Ste 115, Laguna Hills, CA 92653-5518 | 2015-09-18 |
| 1710162870 | Julie A. Marshburn, Md, Inc | Clinic/Center | 25401 Cabot Rd, Suite 101, Laguna Hills, CA 92653-5524 | 2008-01-08 |
| 1114089257 | Pacific Ridge Medical Associates, Inc. | Clinic/Center | 25401 Cabot Rd Ste 101, Laguna Hills, CA 92653-5513 | 2006-12-14 |
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|---|---|---|---|---|
| 1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1275131765 | Uzoma Uwakah | Clinic/Center | 2521 Seminary Ave # 1, Oakland, CA 94605-1307 | 2020-10-15 |
| 1508464470 | Pestle Health LLC | Clinic/Center | 550 Gene Friend Way Apt 214, San Francisco, CA 94158-2283 | 2020-10-13 |
| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
| 1346857802 | Sos Environmental Health | Clinic/Center | 59 Estaban Dr, Camarillo, CA 93010-1609 | 2020-09-29 |
| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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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.