COAST CITY MEDICAL GROUP INC. (NPI# 1689719429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689719429 |
| Entity Type | Organization |
| Organization Name | COAST CITY MEDICAL GROUP INC. |
| Practice Address |
3736 Atlantic Ave # 3 Long Beach CA 90807-3409 |
| Practice Telephone | 5625956396 |
| Practice Fax Number | 5625956693 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SAMUEL CHAN (OWNER) |
| Authorized Official Telephone | 5625956396 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G26972 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3736 ATLANTIC AVE # 3 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852435 | Clnica Uriel / Iradj Nazarian Md | Family Medicine | 1187 E Anaheim St, Long Beach, CA 90813-3662 | 2020-02-05 |
| 1104485887 | Pmd Wellness Center Inc. | Family Medicine | Pmd Wellness Center Inc, 1187 E. Anaheim St., Long Beach, CA 90813-3663 | 2019-06-06 |
| 1699248674 | Central Neighborhood Health Foundat | Family Medicine | 711 E Via Wanda, Long Beach, CA 90805-6526 | 2019-01-02 |
| 1629580337 | Kathleen Legaspi Hoops | Family Medicine | 865 Lees Ave, Long Beach, CA 90815-5024 | 2017-11-02 |
| 1609222942 | Prohealth Partners A Medical Group | Family Medicine | 3816 Woodruff Ave Ste 406, Long Beach, CA 90808-2146 | 2016-05-05 |
| 1083079289 | Majestic Medical Clinic, Inc. | Family Medicine | 817 Atlantic Ave # 14, Long Beach, CA 90813-4512 | 2015-12-15 |
| 1336522788 | Duc Nguyen | Family Medicine | 555 E Ocean Blvd Ste 110, Long Beach, CA 90802 | 2015-07-02 |
| 1356781132 | Philip Kim | Family Medicine | 1729 Termino Ave Ste B, Long Beach, CA 90804-2121 | 2013-06-26 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1053693275 | Michael James Miech | Family Medicine | 6301 Marina Pacifica Dr S, Long Beach, CA 90803-3821 | 2011-09-13 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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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.