Coast OB-GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

COAST OB-GYN

Practice address

366 San Miguel Dr Ste 209
Newport Beach, CA 92660-7810

Phone

(248) 631-7611

NPI assigned

Dec 16, 2022

Organization subpart

No

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

Authorized official

Name

Hind Al-Azawi, MDNPI 1598116915

Title

President

Phone

(248) 631-7611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hind Al-Azawi, MD

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
  • NPI 1598116915
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1043922529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607810",
            "telephone_number": "248-631-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 SAN MIGUEL DR STE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607810",
            "telephone_number": "248-631-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST OB-GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "AL-AZAWI",
        "authorized_official_first_name": "HIND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-631-7611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.