COASTAL PEDIATRICS MEDICAL GROUP (NPI# 1528193109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528193109 |
| Entity Type | Organization |
| Organization Name | COASTAL PEDIATRICS MEDICAL GROUP |
| Practice Address |
451 W Gonzales Rd Ste 340 Oxnard CA 93036-9004 |
| Practice Telephone | 8059833900 |
| Practice Fax Number | 8059833887 |
| Mailing Telephone | 8059833900 |
| Mailing Fax Number | 8059833887 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LORI BOHANNAN (PRACTICE MANAGER) |
| Authorized Official Telephone | 8059833900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ76023Z | 05 |
| Street Address |
451 W GONZALES RD STE 340 |
| City | OXNARD |
| State | CA |
| Zip Code | 93036-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390082 | Stephen Michael Feinberg | Specialist | 451 W Gonzales Rd, Suite 220, Oxnard, CA 93036-9004 | 2005-07-19 |
| 1043678782 | Anait Alabyan D.d.s., Inc. | Dentist | 451 W Gonzales Rd, Suite #110, Oxnard, CA 93036-9004 | 2016-02-09 |
| 1205294352 | Irene Cruz | Dentist | 451 W Gonzales Rd, Suite 250, Oxnard, CA 93036-9004 | 2016-02-04 |
| 1487099529 | Keith English M.d. Inc. | Family Medicine | 451 W Gonzales Rd, Suite 240, Oxnard, CA 93036-9004 | 2013-05-02 |
| 1205171139 | Specialty Care Clinic | Anesthesiology | 451 W Gonzales Rd, 220, Oxnard, CA 93036-9004 | 2012-12-04 |
| 1699951202 | Preeti Chopra | Internal Medicine | 451 W Gonzales Rd, Suite 150, Oxnard, CA 93036-9004 | 2008-01-14 |
| 1710162599 | Mariateresa Bernal Sonen | Dentist | 451 W Gonzales Rd, Suite 110, Oxnard, CA 93036-9004 | 2007-12-31 |
| 1790967693 | Max M Stearns Md Inc | Urology | 451 W Gonzales Rd, Suite 220, Oxnard, CA 93036-9004 | 2007-12-03 |
| 1730368168 | Deyanira Sanchez | Dentist | 451 W Gonzales Rd, Oxnard, CA 93036-9004 | 2007-11-01 |
| 1225238520 | Luz Cubillos D.d.s.,inc | Dentist | 451 W Gonzales Rd, Suite 160, Oxnard, CA 93036-9004 | 2007-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1760021810 | Tiffany Anne Eyestonhe | Counselor | 1911 Wiiliams Drive, Star Program, Oxnard, CA 93036 | 2020-01-06 |
| 1356903579 | Usman Khan | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive Suite 200, Oxnard, CA 93036 | 2019-07-08 |
| 1689236937 | Benjamin Jonathan Ponce | Student in an Organized Health Care Education/Training Program | 1911 Williams Drive, Suite 200, Oxnard, CA 93036 | 2019-07-07 |
| 1194296806 | Ezequiel Armando Sanchez | Counselor | 1911 Williams Drive Star Program, Oxnard, CA 93036 | 2018-12-07 |
| 1710457809 | Shadi Heydari Bateni | Counselor | 2150 N. Victoria Avenue, Oxnard, CA 93036 | 2018-11-30 |
| 1023586443 | Reylene Carmen Sanchez | Counselor | 2755 Yearling Place, Oxnard, CA 93036 | 2018-11-02 |
| 1689157117 | For Eyes Optical Co. of California | Eyewear Supplier (Equipment, not the service) | 2820 Portico Way, Suite 1110, Oxnard, CA 93036 | 2018-09-11 |
| 1518445113 | Heather Christian Byhoffer | Marriage & Family Therapist | 1261 W. Gonzales Rd., Oxnard, CA 93036 | 2018-08-06 |
| 1477045110 | Dr. Jeffrey A. Saladin, Dental Corp | Dentist | 2100 Solar Drive, Suite 200, Oxnard, CA 93036 | 2018-05-30 |
| Find all providers in zip 93036 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700817988 | Donn Richard Browne | Pediatrics | 22oo E. Gonzales Road, Oxnard, CA 93036 | 2006-07-05 |
| 1598791121 | Carlos Barraza | Pediatrics | 2200 E. Gonazxalez Road, Oxnard, CA 93036 | 2006-06-24 |
| 1528153921 | Benjamin T Pecht | Pediatrics | 451 W Gonzales Rd, Oxnard, CA 93036-9004 | 2006-10-03 |
| 1770678070 | David Scott Blank | Pediatrics | 451 W Gonzales Rd, Oxnard, CA 93036-9004 | 2006-10-03 |
| 1558456996 | Robert Fostakowsky | Pediatrics | 451 W Gonzales Rd, Suite 340, Oxnard, CA 93036-9004 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986107 | School Health Clinics of Santa Clara County | Pediatrics | 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 | 2019-05-06 |
| 1669927125 | Irvine Doctors of Kids and Teens | Pediatrics | 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 | 2016-08-24 |
| 1043673270 | Alexander S Golec | Pediatrics | 3333 California St Ste 245, San Francisco, CA 94118-6210 | 2016-04-04 |
| 1710360094 | Jennifer Johnson, M.d., A Professional Corporation | Pediatrics | 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 | 2015-07-03 |
| 1902290448 | Brittany Kathleen Badal | Pediatrics | 2330 Post St Ste 219, San Francisco, CA 94115-3465 | 2015-03-23 |
| 1750770608 | Ighia Aintablian Md A Professional Corporation | Pediatrics | 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 | 2015-01-15 |
| 1184035032 | Carlos Beharie M.d. Medical Group, Inc. | Pediatrics | 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 | 2014-05-14 |
| 1164859385 | Pediatric Adolescent Clinic | Pediatrics | 1214 Adriana Way, Upland, CA 91784-1742 | 2013-10-02 |
| 1578804084 | Eleanor S. Blatt | Pediatrics | 212 20th St, Huntington Beach, CA 92648-3914 | 2013-03-07 |
| 1053676619 | Gladys Hope Dadivas Yerro | Pediatrics | 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 | 2012-07-10 |
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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.