CORONA DEL MAR REHAB, INC
NPI 1164466785
Clinic/Center in Newport Beach, CA

Q: What is Laguna Beach Rehab, Inc.'s NPI number?

The NPI number for Laguna Beach Rehab, Inc. is 1164466785. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Corona Del Mar Rehab, Inc and Corona del Mar Rehab, Inc..

Q: What is Laguna Beach Rehab, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 15, 2006

1441 AVOCADO AVE STE 307, NEWPORT BEACH, CA 92660(949) 640-2121(949) 640-2631 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2022, Jan 15, 2020 (2 updates tracked since 2020).

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About Corona Del Mar Rehab, Inc NPPES

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

CORONA DEL MAR REHAB, INC (NPI 1164466785) is a healthcare organization registered as a clinic/center in Newport Beach, California and active in the NPI registry since June 2006. The organization lists Brian R Fracalosy, H.r. Manager, as its authorized official.

NPPES Registry Identity

NPI1164466785

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLAGUNA BEACH REHAB, INC.

Location Address1441 AVOCADO AVE STE 307Newport Beach, CA 92660-7704

Mailing Address1441 Avocado Ave Ste 307Newport Beach, CA 92660-7704 · (949) 640-2121 · Fax (949) 640-2631

Phone(949) 640-2121

Fax(949) 640-2631

Organization SubpartNo

Authorized OfficialBrian R FracalosyH.r. Manager · (949) 640-2121

Enumeration DateJune 15, 2006

Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration

NPPES CertifiedOctober 7, 2022

✔ NPI 1164466785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in CA · BT00015281

Definition

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).

Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X

1441 AVOCADO AVE STE 307, Newport Beach, CA 92660

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Other Names 2

Doing Business AsCorona Del Mar Rehab, Inc

Doing Business AsCorona Del Mar Rehab, Inc.

Other Identifiers 1

OtherW19811CA · Medicare, Ptan

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corona Del Mar Rehab, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 16 clinicians reassign Medicare billing to Corona Del Mar Rehab, Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice11

Occupational Therapist in Private Practice5

Clinicians, nearest first (16)

Michael Fernandez, PT, DPT

Physical Therapist in Private Practice

NPI 1679229876

2600 PACIFIC COAST HWY STE 150
Corona Del Mar, CA 92625

(949) 640-2121

✔ Accepts Medicare0.8 mi

Jeffrey Fracalosy, DPT

Physical Therapist in Private Practice

NPI 1245789080

2600 E COAST HWY
Corona Del Mar, CA 92625

(949) 640-2121

✔ Accepts Medicare0.8 mi

Karen Crouch, CHT

Physical Therapist in Private Practice

NPI 1043304520

1700 ADAMS AVENUE STE 103
Costa Mesa, CA 92626

(714) 556-2288

✔ Accepts Medicare5.2 mi

Alisa Sanchez, P.T

Physical Therapist in Private Practice

NPI 1194845446

30836 COAST HWY
Laguna Beach, CA 92651

(949) 499-9559

✔ Accepts Medicare9.2 mi

Heather Ritchie, PT

Physical Therapist in Private Practice

NPI 1164698239

16271 BEACH BLVD
Huntington Beach, CA 92647

(714) 375-1755

✔ Accepts Medicare10 mi

Panna Patel

Occupational Therapist in Private Practice

NPI 1093105504

114 BORREGO
Irvine, CA 92618

(949) 375-8058

✔ Accepts Medicare11 mi

Brandon Cirbo

Physical Therapist in Private Practice

NPI 1154800050

31852 COAST HWY STE 303
Laguna Beach, CA 92651

(949) 499-9559

✔ Accepts Medicare11 mi

Jonathan Piazza, DPT

Physical Therapist in Private Practice

NPI 1619763497

31852 COAST HWY STE 303
Laguna Beach, CA 92651

(949) 499-9559

✔ Accepts Medicare11 mi

Joanne Mimm, PT

Physical Therapist in Private Practice

NPI 1407929995

29803 SANTA MARGARITA PKWY
Rancho Santa Margarita, CA 92688

(949) 459-9010

✔ Accepts Medicare15 mi

Kathleen Fiorenza, CHT OTR/L

Occupational Therapist in Private Practice

NPI 1265082424

653 CAMINO DE LOS MARES STE 110
San Clemente, CA 92673

(949) 496-0122

17 mi

Nicole Reaves, MS, OTR/L, CHT

Occupational Therapist in Private Practice

NPI 1235544354

5630 E SANTA ANA CANYON RD STE 105
Anaheim, CA 92807

(714) 282-7701

✔ Accepts Medicare17 mi

Miki Bernal, MA, OT/L, CHT

Occupational Therapist in Private Practice

NPI 1558443572

1 CORTE ESTANTE
San Clemente, CA 92673

(949) 338-9131

20 mi

Christie Torti, P.T.

Physical Therapist in Private Practice

NPI 1962404988

2888 LONG BEACH BLVD #405
Long Beach, CA 90806

(562) 595-4489

✔ Accepts Medicare23 mi

Amanda Luu, PT

Physical Therapist in Private Practice

NPI 1275242893

23430 HAWTHORNE BLVD STE 105
Torrance, CA 90505

(310) 791-3812

✔ Accepts Medicare31 mi

Cameron Webb, DPT, CSCS

Physical Therapist in Private Practice

NPI 1306532478

501 AIRPORT RD
Rifle, CO 81650

(970) 625-1510

✔ Accepts Medicare693 mi

Rachel Park, OT

Occupational Therapist in Private Practice

NPI 1083119598

3901 CAPITAL MALL DR SW STE D
Olympia, WA 98502

(360) 709-6221

✔ Accepts Medicare964 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Laguna Beach Rehab, Inc.'s NPI number?

The NPI number for Laguna Beach Rehab, Inc. is 1164466785. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Corona Del Mar Rehab, Inc and Corona del Mar Rehab, Inc..

Where is Laguna Beach Rehab, Inc. located?

Laguna Beach Rehab, Inc. is located at 1441 Avocado Ave Ste 307, Newport Beach, CA 92660. The listed phone number is (949) 640-2121.

What is Laguna Beach Rehab, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Laguna Beach Rehab, Inc. enrolled in Medicare?

Yes. Laguna Beach Rehab, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Laguna Beach Rehab, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Laguna Beach Rehab, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (11) and Occupational Therapist in Private Practice (5). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Laguna Beach Rehab, Inc. was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.