COASTAL PAIN & SPINAL DIAGNOSTICS MEDICAL GROUP, INC. (NPI# 1487994547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487994547 |
| Entity Type | Organization |
| Organization Name | COASTAL PAIN & SPINAL DIAGNOSTICS MEDICAL GROUP, INC. |
| Practice Address |
4910 Directors Pl Suite 330 San Diego CA 92121-3811 |
| Mailing Address |
6221 Metropolitan St Suite 201 Carlsbad CA 92009-3096 |
| Practice Telephone | 7607537127 |
| Practice Fax Number | 7606070282 |
| Mailing Telephone | 7607537127 |
| Mailing Fax Number | 7606070282 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Authorized Official Name | NATHAN MILLER (PRESIDENT) |
| Authorized Official Telephone | 7607537127 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710044029 | Coastal Pain & Spinal Diagnostics Medical Group, Inc. | Clinic/Center | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 | 2007-01-03 |
| Street Address |
4910 DIRECTORS PL SUITE 330 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104962190 | Arshiya Sharafi | Dentist | 4910 Directors Pl, 301, San Diego, CA 92121-3811 | 2007-01-29 |
| 1285157560 | Zachary Williams | Specialist/Technologist | 4910 Directors Pl, San Diego, CA 92121 | 2017-07-19 |
| 1538693239 | Andrea Lynn Procko | Genetic Counselor, MS | 4910 Directors Pl, San Diego, CA 92121-3811 | 2017-04-19 |
| 1487026415 | Sarah Linke | Psychologist | 4910 Directors Pl, Suite 250, San Diego, CA 92121-3811 | 2015-10-29 |
| 1952780710 | Synergy Specialists Medical Group | Specialist | 4910 Directors Pl, Suite 350, San Diego, CA 92121-3811 | 2015-05-27 |
| 1174932800 | Anh Nguyet Thi Nguyen | Physician Assistant | 4910 Directors Pl, Suite 310, San Diego, CA 92121-3811 | 2014-08-06 |
| 1679900401 | California Fertility Experts | Clinical Medical Laboratory | 4910 Directors Pl, Suite 150, San Diego, CA 92121-3811 | 2013-10-13 |
| 1306288287 | Elite Fertility Center | Obstetrics & Gynecology | 4910 Directors Pl, Suite 150, San Diego, CA 92121-3811 | 2013-07-22 |
| 1316287113 | San Diego Musculoskeletal Institute | Orthopaedic Surgery | 4910 Directors Pl, Suite 350, San Diego, CA 92121-3811 | 2013-02-15 |
| 1396084133 | Renee Alene Lawson | Dental Hygienist | 4910 Directors Pl, Suite 300, San Diego, CA 92121-3811 | 2013-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
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|---|---|---|---|---|
| 1124659784 | Orthopedic and Surgery Centers of California A Professional Corporatio | Clinic/Center | 3760 Convoy St Ste 114, San Diego, CA 92111-3743 | 2020-01-31 |
| 1053891432 | The Inn Spot Community Acupuncture & Stress Relief Lounge | Clinic/Center | 3505 Camino Del Rio S Ste 338, San Diego, CA 92108-4017 | 2018-08-15 |
| 1427140367 | Jerry Rand Apmc | Clinic/Center | 4241 Jutland Dr, Suite 202, San Diego, CA 92117-3663 | 2006-09-28 |
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| 1184278293 | Acu Therapy Pain Clinic, Inc | Clinic/Center | 1840 Westwood Blvd, Los Angeles, CA 90025-4612 | 2019-07-26 |
| 1851944110 | Onyx Pain Management Medical Corporation | Clinic/Center | 1250 S Sunset Ave Ste 206, West Covina, CA 91790-3962 | 2019-07-16 |
| 1063078293 | Regenerative Health and Wellness Institute | Clinic/Center | 4207 Del Rey Ave, Marina Del Rey, CA 90292-5605 | 2019-05-14 |
| 1740843374 | Green Creek Acupuncture,inc | Clinic/Center | 20735 Stevens Creek Blvd Ste D, Cupertino, CA 95014-2104 | 2019-04-18 |
| 1013478130 | Advanced Pain Medical Group, Inc. | Clinic/Center | 655 W Avenue Q Ste B, Palmdale, CA 93551-3894 | 2019-03-29 |
| 1609350669 | Edgar Celis Md Inc | Clinic/Center | 1050 Northgate Dr Ste 460, San Rafael, CA 94903-2542 | 2018-09-17 |
| 1356848915 | Ensele Enterprises Consulting Inc | Clinic/Center | 5030 Parkway Calabasas, Calabasas, CA 91302-1422 | 2018-04-10 |
| 1730691973 | Ageless Acupuncture Health Center | Clinic/Center | 46923 Warm Springs Blvd Ste 206, Fremont, CA 94539-7977 | 2017-10-27 |
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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.