COASTAL HEALTH ALLIANCE (NPI# 1083179360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083179360 |
| Entity Type | Organization |
| Organization Name | COASTAL HEALTH ALLIANCE |
| Practice Address |
65 Third Street Suite 13 Point Reyes Station CA 94956 |
| Mailing Address |
Po Box 910 Point Reyes Station CA 94956-0910 |
| Practice Telephone | 4157871123 |
| Mailing Telephone | 4156638781 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | DINELLE MARIE ABRAM (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 4156638781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Point Reyes Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732325 | Coastal Health Alliance | Clinic/Center | 503 B Street, Point Reyes Station, CA 94956 | 2015-02-12 |
| 1922499979 | Coastal Health Alliance | Clinic/Center | 451 Mesa Road, Bolinas, CA 94924 | 2015-02-12 |
| 1073904025 | Coastal Health Alliance | Clinic/Center | 6350 Sir Francis Drake Blvd., San Geronimo, CA 94963 | 2015-02-12 |
| 1699956839 | Coastal Health Alliance | Clinic/Center | 65 Third Street, Suite 17, Point Reyes Station, CA 94956-0910 | 2007-11-15 |
| 1255441358 | Coastal Health Alliance | Clinic/Center | 3419 State Route One, Stinson Beach, CA 94970-0978 | 2006-08-30 |
| 1760584049 | Coastal Health Alliance | Clinic/Center | 88 Mesa Rd, Bolinas, CA 94924-9713 | 2006-09-05 |
| 1053420844 | Coastal Health Alliance | Clinic/Center | 3 Sixth Street, Point Reyes Station, CA 94956-0910 | 2006-08-29 |
| Street Address |
65 THIRD STREET SUITE 13 |
| City | POINT REYES STATION |
| State | CA |
| Zip Code | 94956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508232497 | Leslie Mcgarvey, Dds | Dentist | 65 Third Street, Suite 13, Point Reyes Station, CA 94956 | 2015-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356801666 | Kira Gentle Barron | Dentist | 65 Third St. Suite 13, Point Reyes Station, CA 94956 | 2019-03-22 |
| 1477062537 | Freda Weitzer | Physical Therapist | 11431 State Route 1, Suite 9, Point Reyes Station, CA 94956 | 2017-09-21 |
| 1316320682 | Ann M Mendenhall | Physician Assistant | 3 Vallejo Ave, Point Reyes Station, CA 94956 | 2015-07-06 |
| 1356732325 | Coastal Health Alliance | Clinic/Center | 503 B Street, Point Reyes Station, CA 94956 | 2015-02-12 |
| 1275766297 | Angelo Anthony Sacheli I | Social Worker | 100 Sixth St., Point Reyes, CA 94956 | 2009-08-25 |
| 1336374842 | Wendy Etsuko Siu | Student in an Organized Health Care Education/Training Program | 100 6th St., Point Reyes Station, CA 94956 | 2009-05-28 |
| 1023269750 | James Kimball Goetz | Psychologist | 65 3rd Street, 29 B, Point Reyes Station, CA 94956 | 2008-09-30 |
| 1356527055 | Rosaleen Curry Shelley | Registered Nurse | 3 6th Street, Box 910, Point Reyes Station, CA 94956 | 2008-01-14 |
| 1558543025 | Michael C Whitt Md, A Prof. Corp. | General Practice | 11150 State Route 1, Pt Reyes Sta, CA 94956 | 2007-11-27 |
| 1619188513 | Linda Mulvany | Art Therapist | 6 Los Reyes, Point Reyes, CA 94956 | 2007-05-24 |
| Find all providers in zip 94956 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
| City | POINT REYES STATION |
| Zip Code | 94956 |
Please comment or provide details below to improve the information on COASTAL HEALTH ALLIANCE.
| 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.