LAGUNA ICF, INC.
NPI 1336290014
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Tracy, CA

Active since January 16, 2007CLIA 05D1091036 · Waiver
294 LAGUNA DR, TRACY, CA 95376(209) 836-5561(209) 832-5990 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Laguna Icf, Inc. NPPES

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

LAGUNA ICF, INC. (NPI 1336290014) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Tracy, California and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists Felipe Tapangco Lapastora, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1336290014
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLAGUNA ICF, INC.
Location Address294 LAGUNA DRTracy, CA 95376-1930
Mailing Address294 Laguna DrTracy, CA 95376-1930 · (209) 836-5561 · Fax (209) 832-5990
Fax(209) 832-5990
Organization SubpartNo
Authorized OfficialFelipe Tapangco LapastoraChief Financial Officer · (209) 836-5561
Enumeration DateJanuary 16, 2007
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPI 1336290014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
294 LAGUNA DR, Tracy, CA 95376

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 05D1091036

Laguna Icf · Tracy, CA
Active · expires Oct 22, 2026
CLIA Number05D1091036
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorPranjalkumar H. Patel MD
Laboratory Phone(209) 835-0824
Laboratory LocationLaguna Icf294 Laguna Drive, Tracy, CA 95376
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Intermediate Care Facility, Intellectual Disabilities
294 LAGUNA DR
TRACY, CA 95376

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 Icf, Inc.'s NPI number?

The NPI number for Laguna Icf, Inc. is 1336290014. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Laguna Icf, Inc. located?

Laguna Icf, Inc. is located at 294 Laguna Dr, Tracy, CA 95376. The listed phone number is (209) 836-5561.

What is Laguna Icf, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Laguna Icf, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1091036) is associated with this NPI, valid through October 22, 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 Icf, Inc. was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.