COAST TO COAST MEDICAL INC (NPI# 1568992493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568992493 |
| Entity Type | Organization |
| Organization Name | COAST TO COAST MEDICAL INC |
| Practice Address |
620 S Glendora Ave Ste B Glendora CA 91740-6815 |
| Practice Telephone | (626) 335-4223 |
| Practice Fax Number | 8775990029 |
| Mailing Telephone | 6263354223 |
| Mailing Fax Number | 8775990029 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | DR. ALLYSON JEAN BERKEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8188362475 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G077666 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G077666 | 05 |
| Street Address |
620 S GLENDORA AVE STE B |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-6815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740729805 | Esther Wanja Wachira | Nurse Practitioner | 620 S Glendora Ave Ste B, Glendora, CA 91740-6815 | 2017-02-21 |
| 1962912246 | Biogenx Medical | Preventive Medicine | 620 S Glendora Ave Ste B, Glendora, CA 91740-6815 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609240126 | Oliver M. Solomon, Do, Inc | Internal Medicine | 130 W Route 66 Ste 326, Glendora, CA 91740-6252 | 2015-11-20 |
| 1073999181 | Krunal J Mehta Md Inc | Internal Medicine | 130 W Route 66 Ste 214, Glendora, CA 91740-6251 | 2015-07-31 |
| 1134398332 | Body 101 | Internal Medicine | 1822a E Route 66 # 279, Glendora, CA 91740-3868 | 2008-02-21 |
| 1578746582 | Zhi-wen Lu | Internal Medicine | 412 W Carroll Ave Ste 104, Glendora, CA 91741-4704 | 2007-12-12 |
| 1912099441 | Raymundo Sevilla Bautista | Internal Medicine | 118 W Foothill Blvd, Glendora, CA 91741 | 2006-09-29 |
| 1285741223 | Robert Morgan | Internal Medicine | 260 Cimmeron Trl, Glendora, CA 91741-3815 | 2006-08-24 |
| 1407898653 | Ibrahim Issa Hanna | Internal Medicine | 640 W. Foothill Blvd., Suite 100, Glendora, CA 91741-2403 | 2006-06-12 |
| 1992237325 | Michelle Lautfy Zaki | Internal Medicine | 2025 E Route 66, Glendora, CA 91740-4670 | 2017-04-03 |
| 1922316751 | Ibrahim Hanna, M.d., Inc. | Internal Medicine | 640 W. Foothill Blvd., Suite 100, Glendora, CA 91741-2403 | 2010-09-14 |
| 1609189893 | Ron Gutmark | Internal Medicine | 210 S Grand Ave, #106, Glendora, CA 91741-4205 | 2010-07-16 |
| Find all providers in GLENDORA | ||||
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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.