SOUTH COAST MEDICAL CENTER (NPI# 1336125970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336125970 |
| Entity Type | Organization |
| Organization Name | SOUTH COAST MEDICAL CENTER |
| Practice Address |
31872 Coast Hwy Laguna Beach CA 92651-6773 |
| Practice Telephone | 9494991311 |
| Mailing Telephone | 9494991311 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2009-01-27 |
| Authorized Official Name | LARRY PUGH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9494991311 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH COAST MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | CA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSM30193F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235115874 | South Coast Medical Center | Home Health | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2005-12-15 |
| 1740266394 | South Coast Medical Center | Skilled Nursing Facility | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2005-12-15 |
| 1649253972 | South Coast Medical Center | General Acute Care Hospital | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2005-11-21 |
| Street Address |
31872 COAST HWY |
| City | LAGUNA BEACH |
| State | CA |
| Zip Code | 92651-6773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548258239 | Amir H Ronaghi | Radiology | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2005-10-07 |
| 1295372621 | Keeban Nam, M.d., Inc. | Clinic/Center | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2019-12-04 |
| 1447809629 | Jemma Coster | Nurse Practitioner | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2019-09-10 |
| 1902364995 | Krista Marie Stone | Registered Nurse | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2019-03-08 |
| 1487121984 | Brian Choi M.d. Mba | Clinic/Center | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2018-11-01 |
| 1366952152 | Shabnam Esmailzadeh K | Acupuncturist | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2017-10-05 |
| 1316462732 | Gregory Scott Ware | Pharmacist | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2017-08-07 |
| 1245767441 | Orange County Psych Specialists | Psychiatry & Neurology | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2017-05-18 |
| 1861866741 | Jonathan E Shaywitz Md Inc | Psychiatry & Neurology | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2015-11-16 |
| 1194162347 | Olivia Granados | Registered Nurse | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1871154526 | Jinyi Bae | Psychiatry & Neurology | 31872 Coast Highway, Behavioral Health Unit, Laguna Beach, CA 92651 | 2019-06-24 |
| 1790348209 | Karen Veseth | Pharmacist | 30842 South Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-04-19 |
| 1629536602 | Briana Kim | Pharmacist | 30842 S Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-03-08 |
| 1295246288 | Priscilla Newton | Marriage & Family Therapist | 1427 Catalina, Laguna Beach, CA 92651 | 2017-10-17 |
| 1659723609 | Kassie Claughton | Social Worker | 1986 S Coast Hwy, Suite 1600, Laguna Beach, CA 92651 | 2016-07-01 |
| 1285029629 | Kathleen Susan Wenger | Counselor | 1550 South Pacific Coast Highway, #205, Laguna Beach, CA 92651 | 2015-04-02 |
| 1316350044 | Marcus D Yetter | Podiatrist | 31852 Coast Hwy Ste 105, Laguna Beach, CA 92651 | 2014-06-10 |
| 1891105854 | Connie Lee Bird | Social Worker | 332 Forest Ave #21, Laguna Beach, CA 92651 | 2014-04-30 |
| 1578989745 | Ana Maria Guerrero | Acupuncturist | 1100 South Coast Highway # 215, Laguna Beach, CA 92651 | 2014-03-12 |
| Find all providers in zip 92651 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093945412 | Mission Hospital Regional Medical Center | Psychiatric Unit | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 2009-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807643 | Pacific Health Group Inc. | Psychiatric Unit | 9120 Woodman Ave, Arleta, CA 91331-6405 | 2020-06-26 |
| 1720627979 | Ernest Markovich | Psychiatric Unit | 3235 N Hartman St, Orange, CA 92865-1216 | 2020-01-04 |
| 1316416670 | Psychiatric Excellence | Psychiatric Unit | 388 Market St Ste 1300, San Francisco, CA 94111-5316 | 2018-11-16 |
| 1982192514 | Veronica E Martinez | Psychiatric Unit | 9481 Hanford St, Ventura, CA 93004-0704 | 2018-04-30 |
| 1679008817 | Ucla Semel Institute | Psychiatric Unit | 615 6th St, Davis, CA 95616-3807 | 2017-04-25 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1871045385 | Molina Psychological Consultants | Psychiatric Unit | 18 Monrovia, Irvine, CA 92602-0925 | 2016-10-31 |
| 1457808073 | Susan Mora | Psychiatric Unit | 1239 Powell St, Apt 2, San Francisco, CA 94133-4874 | 2016-09-01 |
| 1306204342 | County of Santa Clara | Psychiatric Unit | 820 Enborg Court, San Jose, CA 95128 | 2016-02-05 |
| 1477931673 | Nigthingale Nurses | Psychiatric Unit | 350 N Magnolia St, Woodlake, CA 93286-1320 | 2015-05-08 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA BEACH |
| Zip Code | 92651 |
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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.