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

Active since August 31, 2006CLIA 05D0693971 · Microscopy
362 3RD ST, LAGUNA BEACH, CA 92651(949) 494-0761(949) 494-3154 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laguna Beach Community Clinic, Inc. NPPES

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

LAGUNA BEACH COMMUNITY CLINIC, INC. (NPI 1225149222), doing business as Laguna Beach Community Clinic, is a healthcare organization registered as a community health in Laguna Beach, California and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Jorge Rubal, Ceo/cmo, as its authorized official.

NPPES Registry Identity

NPI1225149222
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameLAGUNA BEACH COMMUNITY CLINIC, INC.
Location Address362 3RD STLaguna Beach, CA 92651-2307
Mailing Address362 3rd StLaguna Beach, CA 92651-2307 · (949) 494-0761 · Fax (949) 494-3154
Fax(949) 494-3154
Organization SubpartNo
Authorized OfficialJorge RubalCeo/cmo · (949) 494-0761
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
NPI 1225149222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License Licensed in CA · 596420
362 3RD ST, Laguna Beach, CA 92651

Other Names 1

Doing Business AsLaguna Beach Community Clinic

Other Identifiers 2

OtherEAP11948FCA · Eapc
MedicaidZZT11948FCA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0693971

Laguna Beach Community Clinic · Laguna Beach, CA
Active · expires Aug 31, 2026
CLIA Number05D0693971
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJorge Rubal
Laboratory Phone(949) 494-0761
Laboratory LocationLaguna Beach Community Clinic362 Third Street, Laguna Beach, CA 92651
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

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

Family Medicine
362 3RD ST
LAGUNA BEACH, CA 92651
Nurse Practitioner (Family)
362 3RD ST
LAGUNA BEACH, CA 92651
Family Medicine
362 3RD ST
LAGUNA BEACH, CA 92651
Family Medicine
362 3RD ST
LAGUNA BEACH, CA 92651
Internal Medicine
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

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 Community Clinic, Inc.'s NPI number?

The NPI number for Laguna Beach Community Clinic, Inc. is 1225149222. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Laguna Beach Community Clinic.

Where is Laguna Beach Community Clinic, Inc. located?

Laguna Beach Community Clinic, Inc. is located at 362 3rd St, Laguna Beach, CA 92651. The listed phone number is (949) 494-0761.

What is Laguna Beach Community Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Laguna Beach Community Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0693971) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Laguna Beach Community Clinic, Inc. was last updated on February 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.