Organization Active NPI

Coastal Eye Associates, a Medical Corporation

  • Ophthalmology Physician
  • Hollister, CA
National Provider Identifier
1033546247
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00C53223 Issued in CA
Legal business name
COASTAL EYE ASSOCIATES, A MEDICAL CORPORATION
Practice address
930 Sunnyslope Rd
Suite E2
Hollister, CA 95023-5615
Phone
(831) 637-0705
Fax
(831) 637-4701
NPI assigned
Oct 2, 2013
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darleen D Sutcliffe
Title
Manager
Phone
(831) 728-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 00C53223 CA Primary

Addresses

Primary practice location

930 Sunnyslope Rd
Suite E2
Hollister, CA 95023-5615

Mailing address

160 Green Valley Rd
Suite 202
Freedom, CA 95019-3160
Phone (831) 728-2020

National Provider Directory

National Provider Directory

Locations

930 Sunnyslope Rd
Ste E2
Hollister, CA 95023
Phone (831) 630-1477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1033546247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GREEN VALLEY RD",
            "address_2": "SUITE 202",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950193160",
            "telephone_number": "831-728-2020",
            "fax_number": "831-728-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD",
            "address_2": "SUITE E2",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235615",
            "telephone_number": "831-637-0705",
            "fax_number": "831-637-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE ASSOCIATES, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "SUTCLIFFE",
        "authorized_official_first_name": "DARLEEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "831-728-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "00C53223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.