COASTAL FAMILY MEDICINE, INC (NPI# 1639321953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639321953 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY MEDICINE, INC |
| Other Organization Name | COAST INTERNAL MEDICINE CONSULTANTS |
| Practice Address |
520 Superior Ave Suite 205 Newport Beach CA 92663-3637 |
| Mailing Address |
Po Box 3699 Newport Beach CA 92659-8699 |
| Practice Telephone | 9496502462 |
| Practice Fax Number | 9496501366 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | BARRY BEHRSTOCK (PRESIDENT) |
| Authorized Official Telephone | 7146682525 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Coast Internal Medicine Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063820181 | Coastal Family Medicine, Inc | Family Medicine | 18785 S Brookhurst St, Ste 101, Fountain Valley, CA 92708-7300 | 2014-08-01 |
| 1275584120 | Coastal Family Medicine, Inc | Family Medicine | 1190 W Baker St, Suite 100, Costa Mesa, CA 92626-4105 | 2006-05-15 |
| 1619232378 | Coastal Family Medicine, Inc | Family Medicine | 4950 Barranca Pkwy, Suite 103, Irvine, CA 92604-4630 | 2012-07-09 |
| 1265618276 | Coastal Family Medicine, Inc | Family Medicine | 26671 Aliso Creek Rd, 101, Aliso Viejo, CA 92656-4809 | 2008-01-21 |
| Street Address |
520 SUPERIOR AVE SUITE 205 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536773 | Khosrow Mahdavi | Specialist | 520 Superior Ave, #315, Newport Beach, CA 92663-3637 | 2005-05-27 |
| 1770113623 | Kelly Watkins | Family Medicine | 520 Superior Ave, Newport Beach, CA 92663-3637 | 2020-01-20 |
| 1548819071 | Care Connectors Affiliated Physicians Inc | Clinic/Center | 520 Superior Ave, Suite 250, Newport Beach, CA 92663 | 2019-09-07 |
| 1275189813 | Kerry Lamb | Physician Assistant | 520 Superior Ave, Newport Beach, CA 92663-3637 | 2019-08-09 |
| 1649714627 | Eugene Alexander Yamamoto | Physician Assistant | 520 Superior Ave, #270, Newport Beach, CA 92663-3637 | 2016-12-11 |
| 1659727865 | Ralli and Grewal Apc | Internal Medicine | 520 Superior Ave, Suite 390, Newport Beach, CA 92663-3637 | 2016-05-05 |
| 1083020606 | Li Si Zeng | Physician Assistant | 520 Superior Ave, Suite 270, Newport Beach, CA 92663-3637 | 2014-07-02 |
| 1376960443 | Spn Medical Consulting | Clinic/Center | 520 Superior Ave, Suite 350, Newport Beach, CA 92663-3637 | 2014-03-26 |
| 1275955668 | David R Reinstadler M.d. Inc | Otolaryngology | 520 Superior Ave, Suite 240, Newport Beach, CA 92663-3637 | 2014-01-20 |
| 1821426537 | John C Champion Md | Internal Medicine | 520 Superior Ave, Suite 290, Newport Beach, CA 92663-3637 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| 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 |
|---|---|---|---|---|
| 1730794124 | Elite Physicians Group PC | Internal Medicine | 2372 Se Bristol St Ste B, Newport Beach, CA 92660-0755 | 2020-09-11 |
| 1679103436 | Rena Ahuja Md A Medical Corporation | Internal Medicine | 355 Placentia Ave Ste 209, Newport Beach, CA 92663-3302 | 2020-01-21 |
| 1316584709 | Confermed of California PC | Internal Medicine | 4600 Campus Dr Ste 100, Newport Beach, CA 92660-1801 | 2019-12-04 |
| 1447741657 | Bridge To Health LLC | Internal Medicine | 20271 Sw Birch St Ste 100, Newport Beach, CA 92660-1714 | 2018-05-23 |
| 1821542929 | Lina Bissar | Internal Medicine | 18 Wellington Ct, Newport Beach, CA 92660-6833 | 2016-08-08 |
| 1194110676 | Yazan Abdullah | Internal Medicine | 1501 Superior Ave Ste 208, Newport Beach, CA 92663-3640 | 2015-04-01 |
| 1023435757 | Cesar Balbin Guerrero | Internal Medicine | 350 Vista Madera, Newport Beach, CA 92660 | 2014-03-19 |
| 1235445172 | Stephen P Angel Md Inc A Medical Corporation | Internal Medicine | 320 Superior Ave Ste 320, Newport Beach, CA 92663-2742 | 2010-08-30 |
| 1871811034 | Chesda Eng | Internal Medicine | 879 Newport Center Dr, Newport Beach, CA 92660-6943 | 2010-05-12 |
| 1932438827 | Sara Leanne Helvey | Internal Medicine | 2987 Quedada, Newport Beach, CA 92660-3534 | 2009-12-23 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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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.