COASTAL VASCULAR MEDICINE INC (NPI# 1104234194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104234194 |
| Entity Type | Organization |
| Organization Name | COASTAL VASCULAR MEDICINE INC |
| Practice Address |
351 Hospital Rd 401 Newport Beach CA 92663-3509 |
| Mailing Address |
Po Box 15756 Newport Beach CA 92659-5756 |
| Practice Telephone | 9496316002 |
| Practice Fax Number | 9496316982 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417720 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | EHAB MADY (OWNER) |
| Authorized Official Telephone | 9496316002 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 10166 | CA | Allopathic & Osteopathic Physicians |
| Y | 202K00000X | Phlebology | 10166 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
351 HOSPITAL RD 401 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032576 | Fountain Valley Orthotics and Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 351 Hospital Rd, Suite 106, Newport Beach, CA 92663-3503 | 2005-06-01 |
| 1053761148 | Lee F Carter Md Inc | Internal Medicine | 351 Hospital Rd, Suite 202, Newport Beach, CA 92663-3509 | 2016-06-20 |
| 1184083057 | Andrew Adams | Chiropractor | 351 Hospital Rd, Ste 007, Newport Beach, CA 92663-3509 | 2016-02-19 |
| 1518335025 | Caroline Seery Spindler | Physician Assistant | 351 Hospital Rd, Suite 507, Newport Beach, CA 92663-3509 | 2015-09-14 |
| 1225421324 | Ming Truong, Dds, Inc. | Dentist | 351 Hospital Rd, Suite 201, Newport Beach, CA 92663-3509 | 2015-03-12 |
| 1891108601 | Tina Sadri, Ma, A Family & Marriage Therapy Corp | Marriage & Family Therapist | 351 Hospital Rd, 206, Newport Beach, CA 92663-3509 | 2014-06-09 |
| 1629481429 | Seyedeh Sadri | Marriage & Family Therapist | 351 Hospital Rd, 206, Newport Beach, CA 92663-3509 | 2014-06-09 |
| 1952727851 | Kendall Marie Pokorski | Physical Therapist | 351 Hospital Rd, Newport Beach, CA 92663-3509 | 2014-03-15 |
| 1851737258 | Candace N. Howe, M.d., A Professional Medical Corporation | Specialist | 351 Hospital Rd, Suite 207, Newport Beach, CA 92663-3509 | 2013-05-13 |
| 1194068304 | Maryam Alamoutinia | Nurse Practitioner | 351 Hospital Rd, 207, Newport Beach, CA 92663-3509 | 2013-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371600 | Bh Vein Institute Inc. | Phlebology | 9400 Brighton Way Ste 303, Beverly Hills, CA 90210-4710 | 2017-12-11 |
| 1497197149 | Keller Veins Medical Corporation | Phlebology | 950 Cass St Ste B, Monterey, CA 93940-4547 | 2013-07-23 |
| 1619113248 | Coastal Vein and Cosmetic Center | Phlebology | 62 Corporate Park Ste 120, Irvine, CA 92606-3142 | 2009-01-03 |
| 1164699880 | Vein Doctor Medical Group Inc. | Phlebology | 1945 E 17th St Ste 107, Santa Ana, CA 92705-6862 | 2008-05-12 |
| 1548789407 | M'chae Hollowell | Phlebology | 405 W 5th St, Santa Ana, CA 92701-4599 | 2017-09-12 |
| 1841725801 | The Original Vein Doctor | Phlebology | 44300 Monterey Ave, Suite B, Palm Desert, CA 92260-3377 | 2017-04-27 |
| 1487188280 | Stephen Hopkins Md Medical Corporation | Phlebology | 680 Guzzi Ln, Suite 103, Sonora, CA 95370-5288 | 2017-04-18 |
| 1295193357 | Khateeb Vein Center | Phlebology | 44054 Margarita Rd, Suite 2, Temecula, CA 92592-2737 | 2016-02-04 |
| 1588917322 | California Interventional Medical Group | Phlebology | 11601 Wilshire Blvd, 5th Floor, Los Angeles, CA 99025 | 2012-10-17 |
| 1982955399 | Eric Mowatt-larssen, Md, Inc | Phlebology | 977 Pacific St Ste B, Monterey, CA 93940-4400 | 2012-09-25 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on COASTAL VASCULAR MEDICINE INC.
| 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.