COASTAL ALLERGY CARE INC (NPI# 1720240872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720240872 |
| Entity Type | Organization |
| Organization Name | COASTAL ALLERGY CARE INC |
| Practice Address |
2412 N Ponderosa Dr Ste B111 Camarillo CA 93010-2379 |
| Practice Telephone | 8054828989 |
| Practice Fax Number | 8059872855 |
| Mailing Telephone | 8054828989 |
| Mailing Fax Number | 8059872855 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | LEWIS KANTER (PRESIDENT) |
| Authorized Official Telephone | 8054828989 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | A74064 | CA | Other Service Providers |
| Y | 174400000X | Specialist | G34328 | CA | Other Service Providers |
| Street Address |
2412 N PONDEROSA DR STE B111 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785268 | Derek F Andrzejewski | Physician Assistant | 2412 N Ponderosa Dr Ste B111, Camarillo, CA 93010-2379 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1801931662 | Robert Francis Millhouse | Specialist | 5151 Camino Ruiz Bldg E, Camarillo, CA 93012-8655 | 2007-02-20 |
| 1609925577 | Dianna Oliver | Specialist | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2007-01-09 |
| 1467509661 | City Stations Inc | Specialist | 2370 Las Posas Rd Ste C, Camarillo, CA 93010-3444 | 2007-01-03 |
| 1770514655 | Runda D Esquillo | Specialist | 145 Miramar St, Camarillo, CA 93010-7840 | 2006-07-06 |
| 1245231968 | George C Yu | Specialist | 3661 Las Posas Rd Ste G162, Camarillo, CA 93010-1430 | 2005-08-03 |
| 1053314724 | Cristina N. Porch-curren | Specialist | 2412 N Ponderosa Dr, Ste B111, Camarillo, CA 93010-2379 | 2005-05-24 |
| 1013473636 | Ventura Orthopedics Medical Group, Inc. | Specialist | 3901 Las Posas Rd Ste 4, Camarillo, CA 93010-1502 | 2019-02-19 |
| 1972017689 | Erin Korner | Specialist | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2017-11-17 |
| 1538672456 | Kelsey Hoover | Specialist | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2017-11-14 |
| Find all providers in CAMARILLO | ||||
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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.