COASTAL FAMILY MEDICINE INC (NPI# 1356392278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356392278 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY MEDICINE INC |
| Other Organization Name | FAMILY CARE CENTERS |
| Practice Address |
4950 Barranca Pkwy Ste 104 Irvine CA 92604 |
| Mailing Address |
Po Box 3699 Newport Beach CA 92659-8699 |
| Practice Telephone | 9498571248 |
| Practice Fax Number | 9495591165 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | DR. MARK D SCHAFER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6572413500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians | |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
CA | Allopathic & Osteopathic Physicians | |
| N | 208D00000X | General Practice | CA | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | CA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CA | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD PTAN | DE5878 | 01 |
| Other Name | Type Code |
|---|---|
| Family Care Centers | Doing Business As Name - Organization |
| Family Care Centers Medcial Group | Doing Business As Name - Organization |
| Woodbridge Walk-In Medical Group, Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093766677 | Coastal Family Medicine Inc | Family Medicine | 18785 Brookhurst St Ste 200, Fountain Valley, CA 92708 | 2006-05-16 |
| 1134557655 | Coastal Family Medicine Inc | Physician Assistant | 1441 Avocado Ave, Suite 503, Newport Beach, CA 92660-7721 | 2013-10-18 |
| 1558312470 | Coastal Family Medicine Inc | Family Medicine | 500 Superior Ave, 160, Newport Beach, CA 92663-3657 | 2006-05-15 |
| 1548211352 | Coastal Family Medicine Inc | Family Medicine | 4870 Barranca Pkwy, Suite 330, Irvine, CA 92604 | 2006-05-15 |
| Street Address |
4950 BARRANCA PKWY STE 104 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770871576 | Mary Irene Gonzales Rey | Physical Therapist | 4950 Barranca Pkwy Ste 104, Irvine, CA 92604-8644 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821121328 | Felice L. Gersh, M.d., Inc. | Clinic/Center | 4968 Booth Cir, 101, Irvine, CA 92604-3360 | 2007-03-13 |
| 1144862517 | Vital Med Health Solutions Apc | Clinic/Center | 15375 Barranca Pkwy Ste I101, Irvine, CA 92618-2209 | 2019-10-17 |
| 1891348447 | Facey Medical Foundation | Clinic/Center | 57 Prism, Irvine, CA 92618-3148 | 2019-07-23 |
| 1790186815 | Chapman University | Clinic/Center | 9401 Jeronimo Rd, Suite 100, Rm #207, Irvine, CA 92618-1908 | 2014-09-08 |
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| 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.