LAGUNA BEACH COMMUNITY CLINIC, INC.
NPI 1225149222
Clinic/Center - Community Health in Laguna Beach, CA

NPI Status: Active since August 31, 2006

Contact Information

362 3RD ST
LAGUNA BEACH, CA
ZIP 92651
Phone: (949) 494-0761
Fax: (949) 494-3154

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 05D0693971
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-31-2026

About LAGUNA BEACH COMMUNITY CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Laguna Beach Community Clinic, Inc., a primary care provider established in Laguna Beach, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1225149222 assigned on August 2006. The practitioner's primary taxonomy code is 261QC1500X with license number 596420 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Jorge Rubal M.d., M.b.a (Ceo/cmo)

NPI
1225149222
Provider Legal Name
LAGUNA BEACH COMMUNITY CLINIC, INC.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
362 3RD ST LAGUNA BEACH, CA 92651
Location Phone
(949) 494-0761
Location Fax
(949) 494-3154
Mailing Address
362 3RD ST LAGUNA BEACH, CA 92651
Mailing Phone
(949) 494-0761
Mailing Fax
(949) 494-3154
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
02-26-2025
Code Navigator

A primary care provider (PCP) like Laguna Beach Community Clinic, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities
License No.
596420
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JORGE RUBAL M.D., M.B.A

Authorized Official Title
CEO/CMO
Authorized Official Phone
(949) 494-0761

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
EAP11948FOTHER (01)CAEAPC
ZZT11948FMEDICAID (05)CA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0693971
Facility Type
Community Clinic
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JORGE RUBAL
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Laguna Beach Community Clinic, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for LAGUNA BEACH COMMUNITY CLINIC, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225149222, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 2 + 4 + 1 + 8 + 2 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1225149222.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Family Medicine
362 3RD ST
LAGUNA BEACH, CA 92651
Family Medicine
362 3RD ST
LAGUNA BEACH, CA 92651
Nurse Practitioner (Family)
362 3RD ST
LAGUNA BEACH, CA 92651
Nurse Practitioner (Family)
362 3RD ST
LAGUNA BEACH, CA 92651
Urology
362 3RD ST
LAGUNA BEACH, CA 92651
Dentist (General Practice)
362 3RD ST, SUITE # 2
LAGUNA BEACH, CA 92651
Dentist
362 3RD ST, SUITE 2
LAGUNA BEACH, CA 92651
Internal Medicine
362 3RD ST
LAGUNA BEACH, CA 92651
Family Medicine
362 3RD ST
LAGUNA BEACH, CA 92651
Dietitian, Registered
362 3RD ST
LAGUNA BEACH, CA 92651
Dentist
362 3RD ST, SUITE 2
LAGUNA BEACH, CA 92651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225149222, enumerated as an "organization" on August 31, 2006.

The provider is located at 362 3RD ST LAGUNA BEACH, CA 92651 and the phone number is (949) 494-0761.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.