Coastal Bend Cancer Center, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COASTAL BEND CANCER CENTER, PA

Practice address

1625 Rodd Field Rd
Suite 100
Corpus Christi, TX 78412-4926

Phone

(361) 887-0067

Fax

(361) 887-1885

NPI assigned

Jan 12, 2006

Last updated

Oct 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nora Rodriguez

Title

Office Manager

Phone

(361) 887-0067

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 7

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.

• Yvonne Socorro Manalo, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
  • NPI 1619956596
  Medicare reassignment Care Compare group NPD
• Emile Chawki Salloum, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
  • NPI 1144209024
  Medicare reassignment Care Compare group NPD
• Ajay Sehgal, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
  • NPI 1164529806
  Medicare reassignment Care Compare group NPD
• Gloria Sembrano, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1801401823
  Medicare reassignment Care Compare group NPD
• Travis Thompson, M.D.

  • Radiation Oncology Physician
  • Corpus Christi, TX
  • NPI 1164472676
  Medicare reassignment Care Compare group NPD
• Alfonso Villamil, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
  • NPI 1669451548
  Medicare reassignment Care Compare group NPD
• Thinh Phu Phan, MD

  • Radiation Oncology Physician
  • Midland, TX
  • NPI 1609808864
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1043299415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81346",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784681346",
            "telephone_number": "361-887-0067",
            "fax_number": "361-887-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RODD FIELD RD",
            "address_2": "SUITE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124926",
            "telephone_number": "361-887-0067",
            "fax_number": "361-887-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND CANCER CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "361-887-0067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L5449",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K3846",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K1120",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00465T",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151269101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Bend Ambulatory Surgical Center Inc.
• Coastal Bend Anesthesia, PLLC
• Coastal Bend Area Support Services, LLC
• Coastal Bend Behavioral Clinic
• Coastal Bend Cancer Center Pharmacy LLC
• Coastal Bend Center for Independent Living
• Coastal Bend Council of Governments
• Coastal Bend Counseling Associates
• Coastal Bend Emergency Services
• Coastal Bend Emergency Services Association

• Specialist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.