COASTAL MEDICAL GROUP INC (NPI# 1780998005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780998005 |
| Entity Type | Organization |
| Organization Name | COASTAL MEDICAL GROUP INC |
| Practice Address |
12264 El Camino Real Suite 101 San Diego CA 92130-3058 |
| Practice Telephone | 8588470800 |
| Practice Fax Number | 8587240450 |
| Mailing Telephone | 8588470800 |
| Mailing Fax Number | 8587240450 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |
| Authorized Official Name | MUNISH K BATRA (OWNER) |
| Authorized Official Telephone | 8588470800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G83246 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12264 EL CAMINO REAL SUITE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753899 | Michael Rintala | Chiropractor | 12264 El Camino Real, Suite #108, San Diego, CA 92130-3058 | 2005-10-11 |
| 1700326451 | Milligan Chiropractic Group Inc | Chiropractor | 12264 El Camino Real, Suite 108, San Diego, CA 92130-3060 | 2017-02-28 |
| 1538515358 | Tera Kates | Nurse Practitioner | 12264 El Camino Real, San Diego, CA 92130-3058 | 2016-05-11 |
| 1063872588 | Specialty Obstetrics of San Diego | Clinic/Center | 12264 El Camino Real, Suite 204, San Diego, CA 92130-3058 | 2016-02-25 |
| 1386000347 | Julie Chris Crockett | Social Worker | 12264 El Camino Real, San Diego, CA 92130-3058 | 2016-01-06 |
| 1457788838 | Del Mar Medical Imaging Inc | Clinic/Center | 12264 El Camino Real, 102, San Diego, CA 92130-3058 | 2013-10-01 |
| 1063846012 | Delmar Medical Imaging Inc | Clinic/Center | 12264 El Camino Real, San Diego, CA 92130-3058 | 2013-08-27 |
| 1033461348 | Atherton L Sorrenti | Chiropractor | 12264 El Camino Real, Suite 108, San Diego, CA 92130-3060 | 2012-10-10 |
| 1831450139 | Matthew F. Geromi | Psychiatry & Neurology | 12264 El Camino Real, Suite 203, San Diego, CA 92130-3058 | 2012-06-04 |
| 1548573512 | Brian Patrick Milligan | Chiropractor | 12264 El Camino Real, Suite 108, San Diego, CA 92130-3060 | 2010-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
| 1881947471 | Amir. M. Karam Inc. | Surgery | 4765 Carmel Mountain Rd., Suite 201, San Diego, CA 92130 | 2012-10-19 |
| 1861717647 | Charlie Chen | Surgery | 3399 1st Ave, San Diego, CA 92103-5601 | 2010-04-05 |
| 1932321270 | Deniz J Gocken | Surgery | 11589 Wannacut Pl, San Diego, CA 92131-3733 | 2007-05-03 |
| 1154415891 | Thomas R. Vecchione | Surgery | 3399 First Avenue, San Diego, CA 92103 | 2006-10-03 |
| 1487653523 | Robert B Pollack | Surgery | 4510 Executive Dr., Suite 105, San Diego, CA 92121-3022 | 2005-07-20 |
| 1962982850 | Amanda Mcgee | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1770020471 | Restore Sd Plastic Surgery | Surgery | 8929 University Center Ln, Suite 201, San Diego, CA 92122-1006 | 2017-01-20 |
| 1578869772 | Jason R Hess Plastic Surgery Inc | Surgery | 4060 4th Ave, Suite 120, San Diego, CA 92103-2116 | 2011-02-04 |
| Find all providers in SAN DIEGO | ||||
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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.