COASTLINE PAIN CENTER (NPI# 1639491228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639491228 |
| Entity Type | Organization |
| Organization Name | COASTLINE PAIN CENTER |
| Practice Address |
15606 Brookhurst St Ste A Westminster CA 92683-7582 |
| Mailing Address |
2980 N Beverly Glen Cir Ste 101 Los Angeles CA 90077-1726 |
| Practice Telephone | 7145317730 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | PHONG TRAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7145317730 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | COASTLINE PAIN CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659554061 | Coastline Pain Center | Specialist | 15606 Brookhurst St Ste A, Westminster, CA 92683-7582 | 2007-12-07 |
| Street Address |
15606 BROOKHURST ST STE A |
| City | WESTMINSTER |
| State | CA |
| Zip Code | 92683-7582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659554061 | Coastline Pain Center | Specialist | 15606 Brookhurst St Ste A, Westminster, CA 92683-7582 | 2007-12-07 |
| 1093089286 | Coastline Medical Clinic Inc | Non-Pharmacy Dispensing Site | 15606 Brookhurst St Ste A, Westminster, CA 92683-7582 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578050050 | Luna Dawn Garcia | Behavior Technician | 3950 Milton Ave Suite 200b, Westminster, CA 92683 | 2018-04-19 |
| 1912494899 | Sarah Martin | Behavior Technician | 13950 Milton Ave 220b, Westminster, CA 92683 | 2018-04-17 |
| 1952817314 | Emad Moawad Dental Corporation | Clinic/Center | 7631 Westminster Blvd. #a, Westminster, CA 92683 | 2017-12-21 |
| 1992216717 | Cornerstone Dentistry | Clinic/Center | 14120 Beach Blvd. #212, Westminster, CA 92683 | 2017-10-19 |
| 1306369566 | Nova Surgery Center, LLC | Surgery | 8331 Westminster Blvd Ste B, Westminster, CA 92683 | 2017-07-19 |
| 1619429693 | All Smiles Dental | Dentist | 9361 Bolsa Avenue, Suite #102, Westminster, CA 92683 | 2016-10-26 |
| 1265882856 | Anh Phuong Nguyen | Occupational Therapist | 15606 A Brookhurst St., Westminster, CA 92683 | 2016-06-15 |
| 1194192831 | Tuong Vi Thi Nguyen | Dentist | 16517 Magnolia Street, Westminster, CA 92683 | 2015-08-28 |
| 1366818767 | Hoai Albert Bui Jr. | Acupuncturist | 9561 Bolsa Ave, Westminster, CA 92683 | 2015-08-19 |
| 1245606698 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 8341 Westminster Blvd., Ste. 202, Westminster, CA 92683 | 2015-08-19 |
| Find all providers in zip 92683 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104284868 | Montgomery Eye Care | Non-Pharmacy Dispensing Site | 8403 Bryant St, Westminster, CO 80031-3809 | 2016-02-09 |
| 1720423833 | Bolsa Medical Group | Non-Pharmacy Dispensing Site | 10362 Bolsa Ave, Suite 110, Westminster, CA 92683-6763 | 2013-05-02 |
| 1073858163 | Pathway Medical Group | Non-Pharmacy Dispensing Site | 7955 Westminster Blvd, Westminster, CA 92683-4001 | 2012-11-30 |
| 1093089286 | Coastline Medical Clinic Inc | Non-Pharmacy Dispensing Site | 15606 Brookhurst St Ste A, Westminster, CA 92683-7582 | 2012-03-06 |
| 1699084855 | Trieu T. Tran, Md Inc. | Non-Pharmacy Dispensing Site | 14501 Magnolia St, Westminster, CA 92683-1306 | 2010-10-05 |
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| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
| City | WESTMINSTER |
| Zip Code | 92683 |
Please comment or provide details below to improve the information on COASTLINE PAIN CENTER.
| 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.