Laguna Beach Rehab, Inc.
NPI 1164466785ActiveOrganization· Clinic/Center· Newport Beach, CA
Clinic/Center in Newport Beach, California, registered in NPPES in June 2006. The authorized official on file is Brian R. Fracalosy, H.R. Manager. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1164466785 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2006 |
| Last updated in NPPES | Oct 7, 2022 |
| Certified by provider | Oct 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | BT00015281 | CA |
| Clinic/Center, Rehabilitation | 261QR0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (CA); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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