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SOUTH COAST FAMILY MEDICAL CENTER INC
NPI 1902003791
Clinic/Center in Laguna Niguel, CA

Active since June 27, 2007CLIA 05D0916613 · Waiver
25500 RANCHO NIGUEL RD STE 100, LAGUNA NIGUEL, CA 92677(949) 643-8921(949) 643-3914 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About South Coast Family Medical Center Inc NPPES

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

SOUTH COAST FAMILY MEDICAL CENTER INC (NPI 1902003791) is a healthcare organization registered as a clinic/center in Laguna Niguel, California and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Michael Alan Kent, Owner, as its authorized official.

NPPES Registry Identity

NPI1902003791
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTH COAST FAMILY MEDICAL CENTER INC
Location Address25500 RANCHO NIGUEL RD STE 100Laguna Niguel, CA 92677-7373
Mailing Address25500 Rancho Niguel Rd Ste 100Laguna Niguel, CA 92677-7373 · (949) 643-8921 · Fax (949) 643-3914
Phone(949) 643-8921
Fax(949) 643-3914
Organization SubpartNo
Authorized OfficialMichael Alan KentOwner · (949) 643-8921
Enumeration DateJune 27, 2007
Last NPPES UpdateMay 27, 2008
✔ NPI 1902003791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · A37009
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
25500 RANCHO NIGUEL RD STE 100, Laguna Niguel, CA 92677
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Other Identifiers 4

Medicare PINW11416CA
Other1952335598CA · Npi Michael Kent Md
OtherA37009CA · Blue Cross License
OtherZZZ26875ZCA · Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Coast Family Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to South Coast Family Medical Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Christopher Davis, D.O.
Family Practice
NPI 1356637813
25500 RANCHO NIGUEL RD SUITE 100
Laguna Niguel, CA 92677
(949) 643-0500
✔ PECOS✔ Accepts Medicare0.3 mi
Lauren Davis, D.O.
Family Practice
NPI 1457647901
25500 RANCHO NIGUEL RD STE 100
Laguna Niguel, CA 92677
(949) 643-0500
✔ PECOS✔ Accepts Medicare0.3 mi
Michael Kent
Family Practice
NPI 1952335598
25500 RANCHO NIGUEL 100
Laguna Niguel, CA 92677
(949) 643-0500
✔ PECOS0.3 mi

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 of Waiver 05D0916613

South Coast Family · Laguna Niguel, CA
Active · expires Jun 25, 2028
CLIA Number05D0916613
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorMichael A. Kent, MD
Laboratory Phone(714) 643-0500
Laboratory LocationSouth Coast Family25500 Rancho Niguel Rd #100, Laguna Niguel, CA 92677
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 South Coast Family Medical Center Inc's NPI number?

The NPI number for South Coast Family Medical Center Inc is 1902003791. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is South Coast Family Medical Center Inc located?

South Coast Family Medical Center Inc is located at 25500 Rancho Niguel Rd Ste 100, Laguna Niguel, CA 92677. The listed phone number is (949) 643-8921.

What is South Coast Family Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is South Coast Family Medical Center Inc enrolled in Medicare?

Yes. South Coast Family Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Coast Family Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to South Coast Family Medical Center Inc. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Coast Family Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0916613) is associated with this NPI, valid through June 25, 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 South Coast Family Medical Center Inc was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.