LAGUNA TIDES MEDICAL GROUP, INC.
NPI 1811014319
Internal Medicine in Laguna Niguel, CA

Q: What is Laguna Tides Medical Group, Inc.'s NPI number?

The NPI number for Laguna Tides Medical Group, Inc. is 1811014319. It was assigned to this organization in the NPPES registry on March 22, 2007.

Q: What is Laguna Tides Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 22, 2007

30131 TOWN CENTER DR, SUITE 215, LAGUNA NIGUEL, CA 92677(949) 499-1337(949) 499-4962 Get Directions Write a Review

NPPES record last updated: May 4, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Laguna Tides Medical Group, Inc. NPPES

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

LAGUNA TIDES MEDICAL GROUP, INC. (NPI 1811014319) is a healthcare organization registered as an internal medicine in Laguna Niguel, California and active in the NPI registry since March 2007. The organization lists Robert V. Eller, President, as its authorized official.

NPPES Registry Identity

NPI1811014319

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameLAGUNA TIDES MEDICAL GROUP, INC.

Location Address30131 TOWN CENTER DR, SUITE 215Laguna Niguel, CA 92677-2034

Mailing Address30131 Town Center Dr, Suite 215Laguna Niguel, CA 92677-2034 · (949) 499-1337 · Fax (949) 499-4962

Phone(949) 499-1337

Fax(949) 499-4962

Organization SubpartNo

Authorized OfficialRobert V. EllerPresident · (949) 499-1337

Enumeration DateMarch 22, 2007

Last NPPES UpdateMay 4, 2010

✔ NPI 1811014319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A9817

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30131 TOWN CENTER DR, Laguna Niguel, CA 92677

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Other Identifiers 1

Medicare PINW21605CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MR. FRANK LEWIS JAMESON III L.M.F.T.

Marriage & Family Therapist

30131 TOWN CENTER DR, SUITE 104
LAGUNA NIGUEL, CA 92677

Orange County (949) 636-1314

MS. MARGARET GUNTHER MCNELLY MFT

Marriage & Family Therapist

30131 TOWN CENTER DR, SUITE 104
LAGUNA NIGUEL, CA 92677

Orange County (949) 580-5613

DR. CHERYL L KELLOGG M.D.

Specialist

30131 TOWN CENTER DR, SUITE 204
LAGUNA NIGUEL, CA 92677

Orange County (949) 342-1780

DANIEL JEFFREY LONGACRE DDS

Dentist (General Practice)

30131 TOWN CENTER DR, SUITE 150
LAGUNA NIGUEL, CA 92677

Orange County (949) 495-2000

SUSAN DINDOT, MD, APC

Internal Medicine

30131 TOWN CENTER DR, SUITE 140
LAGUNA NIGUEL, CA 92677

Orange County (949) 249-9600

MR. WALTER STEPHEN ERNSDORF PHD

Psychologist

30131 TOWN CENTER DR, SUITE 280
LAGUNA NIGUEL, CA 92677

Orange County (949) 495-8853

DR. DARRYL CREIGHTON FREELAND PH.D.

Psychologist

30131 TOWN CENTER DR, SUITE 298
LAGUNA NIGUEL, CA 92677

Orange County (949) 495-5141

DR. MAE LEE SPRINGER DDS

Dentist (General Practice)

30131 TOWN CENTER DR, #220
LAGUNA NIGUEL, CA 92677

Orange County (949) 495-4600

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 Tides Medical Group, Inc.'s NPI number?

The NPI number for Laguna Tides Medical Group, Inc. is 1811014319. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Laguna Tides Medical Group, Inc. located?

Laguna Tides Medical Group, Inc. is located at 30131 Town Center Dr Suite 215, Laguna Niguel, CA 92677. The listed phone number is (949) 499-1337.

What is Laguna Tides Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Laguna Tides Medical Group, Inc. was last updated on May 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.