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PACIFIC RIDGE MEDICAL ASSOCIATES, INC.
NPI 1114089257
Clinic/Center - Primary Care in Laguna Hills, CA

Active since December 14, 2006CLIA 05D1000003 · Waiver
25401 CABOT RD STE 101, LAGUNA HILLS, CA 92653(949) 768-4850(949) 215-9630 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pacific Ridge Medical Associates, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC RIDGE MEDICAL ASSOCIATES, INC. (NPI 1114089257) is a healthcare organization registered as a primary care in Laguna Hills, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through May 29, 2028 and lists Alan Y Lo, Vice President, as its authorized official.

NPPES Registry Identity

NPI1114089257
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePACIFIC RIDGE MEDICAL ASSOCIATES, INC.
Location Address25401 CABOT RD STE 101Laguna Hills, CA 92653-5513
Mailing Address25401 Cabot Rd Ste 101Laguna Hills, CA 92653-5513 · (949) 768-4850 · Fax (949) 215-9630
Phone(949) 768-4850
Fax(949) 215-9630
Organization SubpartYes
Authorized OfficialAlan Y LoVice President · (949) 422-2589
Enumeration DateDecember 14, 2006
Last NPPES UpdateDecember 22, 2011
✔ NPI 1114089257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · 2425685
25401 CABOT RD STE 101, Laguna Hills, CA 92653
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedW15812CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1000003

Pacific Ridge Medical Associates, Inc · Laguna Hills, CA
Active · expires May 29, 2028
CLIA Number05D1000003
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2026
Certificate Expiration DateMay 29, 2028
Laboratory DirectorRobert P. Lazatin MD
Laboratory Phone(949) 768-4850
Laboratory LocationPacific Ridge Medical Associates, Inc25401 Cabot Road Suite 101, Laguna Hills, CA 92653
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JUDY MINH-HANG HUYNH D.O.
Family Medicine
25401 CABOT RD STE 101
LAGUNA HILLS, CA 92653
Orange County (949) 768-4850
OC RHEUMATOLOGY
Internal Medicine (Rheumatology)
25401 CABOT RD STE 101
LAGUNA HILLS, CA 92653
Orange County (949) 335-7993
DR. JASON EVERETT HUNT D.O.
Internal Medicine
25401 CABOT RD STE 101
LAGUNA HILLS, CA 92653
Orange County (949) 768-4850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Ridge Medical Associates, Inc.'s NPI number?

The NPI number for Pacific Ridge Medical Associates, Inc. is 1114089257. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is Pacific Ridge Medical Associates, Inc. located?

Pacific Ridge Medical Associates, Inc. is located at 25401 Cabot Rd Ste 101, Laguna Hills, CA 92653. The listed phone number is (949) 768-4850.

What is Pacific Ridge Medical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pacific Ridge Medical Associates, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1000003) is associated with this NPI, valid through May 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Ridge Medical Associates, Inc. was last updated on December 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.