BLUE WATER COASTAL, LLC (NPI# 1063764686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063764686 |
| Entity Type | Organization |
| Organization Name | BLUE WATER COASTAL, LLC |
| Practice Address |
785 Grand Ave #100 Carlsbad CA 92008-2370 |
| Mailing Address |
Po Box 1176 Cardiff CA 92007-7176 |
| Practice Telephone | 7607293200 |
| Practice Fax Number | 7607293201 |
| Mailing Telephone | 8585097999 |
| Mailing Fax Number | 8585093993 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |
| Authorized Official Name | SARAH C WILKIE (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 7607293200 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC29910 | CA | Chiropractic Providers |
| Street Address |
785 GRAND AVE #100 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144243569 | Christine P Valdez | Marriage & Family Therapist | 785 Grand Ave, Suite 219, Carlsbad, CA 92008-2370 | 2006-07-26 |
| 1982099461 | Noelani Dizon-oathout | Counselor | 785 Grand Ave, Suite 220, Carlsbad, CA 92008-2370 | 2015-04-01 |
| 1194118315 | West Coast Men's LLC | Clinic/Center | 785 Grand Ave, Suite 220, Carlsbad, CA 92008 | 2015-03-12 |
| 1902203730 | Stephen Aaron Lawrence | Dentist | 785 Grand Ave, Suite 206, Carlsbad, CA 92008-2370 | 2014-11-21 |
| 1871995647 | Stephen A. Lawrence, Dds, Inc. | Clinic/Center | 785 Grand Ave, Suite 206, Carlsbad, CA 92008-2370 | 2014-09-23 |
| 1457767139 | Diana Edds | Marriage & Family Therapist | 785 Grand Ave, Suite 220, Carlsbad, CA 92008-2370 | 2014-07-02 |
| 1346665791 | Alexis Ecoff | Marriage & Family Therapist | 785 Grand Ave, Suite 220, Carlsbad, CA 92008-2370 | 2014-02-21 |
| 1932547288 | Madeline Lewis | Case Manager/Care Coordinator | 785 Grand Ave, Carlsbad, CA 92008-2370 | 2013-06-10 |
| 1588001812 | Kinnear Chiropractic PC | Chiropractor | 785 Grand Ave, #100, Carlsbad, CA 92008-2370 | 2013-05-28 |
| 1396181558 | Kimberley Woo | Acupuncturist | 785 Grand Ave, Carlsbad, CA 92008-2370 | 2013-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877119 | Victoria Phillips | Chiropractor | 7220 Avenida Encinas Ste 206, Carlsbad, CA 92011-4661 | 2020-10-07 |
| 1104382332 | Artem Abakumov | Chiropractor | 5115 Avenida Encinas Ste I, Carlsbad, CA 92008-4387 | 2019-02-12 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1568966778 | Hodgson Chiropractic, Inc. | Chiropractor | 6120 Paseo Del Norte Ste O2, Carlsbad, CA 92011-1149 | 2018-03-21 |
| 1689111494 | Emily Dodds Mickle | Chiropractor | 6010 Hidden Valley Rd Ste 107, Carlsbad, CA 92011-4219 | 2017-01-31 |
| 1275980427 | Nisreen Tayebjee | Chiropractor | 1905 Calle Barcelona Ste 234, Carlsbad, CA 92009-8453 | 2016-05-18 |
| 1922454412 | Meagan Kitt | Chiropractor | 5631 Palmer Way, Suite G, Carlsbad, CA 92010-7243 | 2016-05-13 |
| 1891154233 | Christina Binder | Chiropractor | 2610 El Camino Real, Carlsbad, CA 92008-1214 | 2016-02-13 |
| 1689053316 | Jerry Relth | Chiropractor | 2604 El Camino Real # 341b, Carlsbad, CA 92008-1205 | 2015-05-27 |
| 1720485758 | Tania Williams | Chiropractor | 2750 Circulo Santiago Apt L, Carlsbad, CA 92008-6841 | 2014-11-19 |
| Find all providers in CARLSBAD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.