COASTAL DIAGNOSTIC SERVICES INC (NPI# 1245643279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245643279 |
| Entity Type | Organization |
| Organization Name | COASTAL DIAGNOSTIC SERVICES INC |
| Practice Address |
1010 W La Veta Ave Ste 615 Orange CA 92868-4310 |
| Mailing Address |
Po Box 61327 Irvine CA 92602-6044 |
| Practice Telephone | 8882688607 |
| Practice Fax Number | 9514617074 |
| Mailing Telephone | 8882688607 |
| Mailing Fax Number | 9514617074 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | STEVE WONG (OWNER) |
| Authorized Official Telephone | 8882688607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1010 W LA VETA AVE STE 615 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-4310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649483553 | Orange County Spinal Imaging Inc | Radiologic Technologist | 3145 E Abbey Ln, Orange, CA 92867-2009 | 2007-05-07 |
| 1811419187 | Abraham Farias | Radiologic Technologist | 280 S Main St Ste 200, Orange, CA 92868 | 2017-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016883 | Eric Robert Holmgren | Radiologic Technologist | 601 Duboce Ave, North Tower, Level A, San Francisco, CA 94114 | 2020-06-05 |
| 1831657402 | Excel Imaging | Radiologic Technologist | 18158 Us Highway 18, Apple Valley, CA 92307-2202 | 2019-03-03 |
| 1568968899 | Conrado Olalia Quemuel | Radiologic Technologist | 242 Preble Dr, Tustin, CA 92780-3720 | 2018-04-04 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1134582083 | Bertha Patricia Orna | Radiologic Technologist | 1206 E 17th St Ste 205, Santa Ana, CA 92701-2641 | 2016-03-29 |
| 1467825703 | Jack Pavich | Radiologic Technologist | 9411 Sunnyside Ave, Ben Lomond, CA 95005-9345 | 2015-11-09 |
| 1306234703 | Socal Surgical Imaging | Radiologic Technologist | 10755 Scripps Poway Pkwy # 709, San Diego, CA 92131-3924 | 2015-01-07 |
| 1013320605 | Hera Nal | Radiologic Technologist | 406 E. Poppy St., Long Beach, CA 90805 | 2014-06-11 |
| 1003237439 | Amir Nahavandi | Radiologic Technologist | 6206 1/2 Nita Ave, Woodland Hills, CA 91367-7652 | 2014-01-03 |
| 1023445855 | George Gallap | Radiologic Technologist | 1435 Mcfarlan St, Eureka, CA 95501-1345 | 2013-10-14 |
| Find all providers with the same taxonomy | ||||
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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.