COASTAL SKIN AND EYE INSTITUTE, INC. (NPI# 1083273684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083273684 |
| Entity Type | Organization |
| Organization Name | COASTAL SKIN AND EYE INSTITUTE, INC. |
| Practice Address |
477 N El Camino Real Ste C300 Encinitas CA 92024-1356 |
| Mailing Address |
5550 Carmel Mountain Rd Ste 206 San Diego CA 92130-4861 |
| Practice Telephone | 8589432540 |
| Practice Fax Number | 8582522053 |
| Mailing Telephone | 8589432540 |
| Mailing Fax Number | 8582522053 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Authorized Official Name | MS. JEANNENE GRAHAM (PRACTICE MANAGER) |
| Authorized Official Telephone | 8589432540 |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTAL SKIN & EYE INSTITUTE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| Street Address |
477 N EL CAMINO REAL STE C300 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-1356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522319 | Retina San Diego | Ophthalmology | 477 N El Camino Real Ste C302, Encinitas, CA 92024-1354 | 2015-03-12 |
| 1649320292 | Richard Kemp Massengill | Ophthalmology | 664 Hymettus Ave, Encinitas, CA 92024-2603 | 2007-01-12 |
| 1124485784 | San Diego Eyelid Specialists, Inc. | Ophthalmology | 477 N El Camino Real, A304, Encinitas, CA 92024-1328 | 2016-01-26 |
| 1588924849 | Ehsan Mozayan-isfahani | Ophthalmology | 477 N El Camino Real, Ste C302, Encinitas, CA 92024-1354 | 2012-05-21 |
| 1093948176 | Arash Mozayan Isfahani | Ophthalmology | 477 N El Camino Real, Suite 302, Encinitas, CA 92024-1328 | 2009-08-24 |
| 1558549303 | Michelle Crosby | Ophthalmology | 477 N El Camino Real Ste C202, Encinitas, CA 92024-1332 | 2008-02-04 |
| 1588856702 | Stephen Kirk Schaller | Ophthalmology | 2240 Encinitas Blvd, D402, Encinitas, CA 92024-4345 | 2007-08-11 |
| 1104030055 | Srinivas Iyengar | Ophthalmology | 477 N El Camino Real, C-308, Encinitas, CA 92024-1328 | 2007-05-10 |
| 1245387471 | Kaestner Medical Corporation | Ophthalmology | 477 N El Camino Real, C-308, Encinitas, CA 92024-1328 | 2007-01-03 |
| 1467519470 | Eye Care Solutions Inc | Ophthalmology | 477 N El Camino Real, C202, Encinitas, CA 92024 | 2007-01-02 |
| Find all providers in ENCINITAS | ||||
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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.