COASTAL PODIATRY CLINIC (NPI# 1336319698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336319698 |
| Entity Type | Organization |
| Organization Name | COASTAL PODIATRY CLINIC |
| Other Organization Name | COASTAL PODIATRY CLINIC |
| Practice Address |
2 James Way Suite 205 Pismo Beach CA 93449-4973 |
| Practice Telephone | 8057733668 |
| Practice Fax Number | 8057731043 |
| Mailing Telephone | 8057733668 |
| Mailing Fax Number | 8057731043 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2019-06-21 |
| Authorized Official Name | RICHARD JAY NORMAN (SOLE PROPRIETOR) |
| Authorized Official Telephone | 8057733668 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | RICHARD NORMAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
E4306 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PODIATRIC MEDICINE LICENSE | E4306 | 01 |
| Other Name | Type Code |
|---|---|
| Coastal Podiatry Clinic | Doing Business As Name - Organization |
| RICHARD J NORMAN DPM | Doing Business As Name - Organization |
| Street Address |
2 JAMES WAY SUITE 205 |
| City | PISMO BEACH |
| State | CA |
| Zip Code | 93449-4973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769929 | Joseph A. Cruz | Family Medicine | 2 James Way, Suite 209, Pismo Beach, CA 93449-4973 | 2005-06-13 |
| 1538618590 | Pacific Central Coast Health Centers | Clinic/Center | 2 James Way, Suite 209, Pismo Beach, CA 93449-4973 | 2016-09-30 |
| 1316323447 | Kendra Joelle Weichbrodt | Nurse Practitioner | 2 James Way, Pismo Beach, CA 93449 | 2015-07-30 |
| 1053742528 | Coastal Village Primary Care, A Medical Group | Family Medicine | 2 James Way, Ste 209, Pismo Beach, CA 93449-4976 | 2013-12-09 |
| 1396080511 | Coastal Village Primary, Inc | Family Medicine | 2 James Way, Suite 209, Pismo Beach, CA 93449-4973 | 2012-11-28 |
| 1386992048 | Kelly C Jenei | Nurse Practitioner | 2 James Way, 209, Pismo Beach, CA 93449-4973 | 2012-08-28 |
| 1508131376 | Irma Perez Martinez Dmd Ms Inc | Dentist | 2 James Way, Suite 201, Pismo Beach, CA 93449-4973 | 2012-03-13 |
| 1477858868 | Giancarlo A. Lauriente, Dds, Inc. | Dentist | 2 James Way, Suite 201, Pismo Beach, CA 93449-4973 | 2011-01-17 |
| 1235462532 | Irma Del Carmen Perez Martinez | Dentist | 2 James Way, Suite 201, Pismo Beach, CA 93449-4973 | 2009-09-17 |
| 1255500054 | David S. Filippi Md A Medical Corporation | Psychiatry & Neurology | 2 James Way, Suite 101, Pismo Beach, CA 93449-4973 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831688795 | Kristyn Collins | Psychologist | 130 James Way, #150, Pismo Beach, CA 93449 | 2018-05-07 |
| 1245750140 | Judy Burke Morabito | Pedorthist | 801 Dolliver Street, Pismo Beach, CA 93449 | 2017-06-21 |
| 1295274413 | The San Luis Obispo Hearing Center, Inc | Specialist | 901 Oak Park Blvd Suite 202, Pismo Beach, CA 93449 | 2017-02-21 |
| 1649713645 | Sarah Victoria Stroemel | Counselor | 172 Stimson Ave, #3, Pismo Beach, CA 93449 | 2016-11-22 |
| 1497133631 | Byron N Collier | Podiatrist | 911 Oak Park Blvd Ste 106, Pismo Beach, CA 93449 | 2015-05-07 |
| 1982973319 | Mariana Dintyala | Nurse Practitioner | Avery Healthcare Sevices, 230 Coral Ct, Pismo Beach, CA 93449 | 2011-12-13 |
| 1538444575 | Chelsea Hunter | Student in an Organized Health Care Education/Training Program | 448 Foothill Rd, Pismo Beach, CA 93449 | 2011-10-20 |
| 1952621492 | Briana Leigh Schiro | Counselor | 314 El Portal Dr., Suite 100, Pismo Beach, CA 93449 | 2010-06-07 |
| 1134365315 | Robert Lee Hix | Licensed Psychiatric Technician | 201 Five Cities Dr., 123, Pismo Beach, CA 93449 | 2008-12-18 |
| 1689886764 | Active Physical Therapy Inc | Physical Therapist | 1851 Shell Beach Rd, Suite B, Shell Beach, CA 93449 | 2007-05-03 |
| Find all providers in zip 93449 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801411988 | David W. Hellewell, D.p.m. Inc | Podiatrist | 17822 Beach Blvd Ste 407, Huntington Beach, CA 92647-7511 | 2020-06-15 |
| 1265053672 | Elite Atlantic Foot & Ankle Clinic | Podiatrist | 925 S Atlantic Blvd Ste 102, Monterey Park, CA 91754-1063 | 2020-04-27 |
| 1467099085 | Berkeley Foot and Ankle Podiatry Group, Inc | Podiatrist | 106 La Casa Via Ste 270, Walnut Creek, CA 94598-3015 | 2019-12-02 |
| 1164902565 | Optimum Podiatry Services Inc | Podiatrist | 365 Hawthorne Ave Ste 202, Oakland, CA 94609-3114 | 2018-08-16 |
| 1427536697 | Rodeo Surgical Institute Inc. | Podiatrist | 421 N Rodeo Dr Ste T13, Beverly Hills, CA 90210-4500 | 2018-07-31 |
| 1902340201 | San Mateo Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr Ste 212, San Mateo, CA 94401-3843 | 2016-12-06 |
| 1285018986 | Platinum Health Center | Podiatrist | 1125 E 17th St Ste E101, Santa Ana, CA 92701 | 2015-07-13 |
| 1114211786 | Ross Eldon Biederman | Podiatrist | 140 Wyoming Street, June Lake, CA 93529 | 2011-06-01 |
| 1487885414 | Eugene Marvin Krank Jr. | Podiatrist | 4358 W 136th St, #d, Hawthorne, CA 90250-7127 | 2009-08-08 |
| 1861629248 | Tanya Panichpakdee | Podiatrist | 357 Calle Marseille, Long Beach, CA 90814-3219 | 2009-06-12 |
| Find all providers with the same taxonomy | ||||
| City | PISMO BEACH |
| Zip Code | 93449 |
Please comment or provide details below to improve the information on COASTAL PODIATRY CLINIC.
| 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.