LAGUNA BEACH COMMUNITY CLINIC, INC.
NPI 1225149222
Clinic/Center - Community Health in Laguna Beach, CA
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, 2028 and lists Jorge Rubal, Ceo/cmo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Laguna Beach Community Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Laguna Beach Community Clinic, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Laguna Beach Community Clinic, Inc. enrolled in Medicare?
Yes. Laguna Beach Community Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Laguna Beach Community Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Laguna Beach Community Clinic, Inc., in Clinical Social Worker, Family Practice, Internal Medicine, Marriage and Family Therapist and Nurse Practitioner. 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. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 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 Laguna Beach Community Clinic, Inc. was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Laguna Beach Community Clinic, Inc. · NPI 1225149222
Community Health organization in Laguna Beach, California. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1225149222 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Clinic/Center - Community Health · taxonomy 261QC1500X
- **Also known as:** Laguna Beach Community Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jorge Rubal, CEO/CMO
## Practice location
- **Address:** 362 3RD ST, Laguna Beach, CA 92651-2307
- **Phone:** (949) 494-0761 · **Fax:** (949) 494-3154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Clinical Social Worker (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2025
- **Other identifiers:** Other EAP11948F (CA); Medicaid ZZT11948F (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225149222) · Data from the CMS NPPES public registry.