Coast Neurosurgical Associates a Medical Group

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

COAST NEUROSURGICAL ASSOCIATES A MEDICAL GROUP

Doing business as

Coast Neurosurgical Associates

Practice address

2888 Long Beach Blvd Ste 240
Long Beach, CA 90806-1570

Phone

(562) 595-7696

Fax

(562) 988-1559

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Nicolle Kristine Garnica

Title

Administrator

Phone

(562) 424-3924

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coast Neurosurgical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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.

• Ramin Javahery, MD

  • Neurological Surgery Physician
  • Long Beach, CA
  • NPI 1063562239
  Medicare reassignment Care Compare group NPD
• Michael Kim, M.D.

  • Neurological Surgery Physician
  • Orange, CA
  • NPI 1295136406
  Medicare reassignment Care Compare group NPD
• Hooshang Pak, MD

  • Neurological Surgery Physician
  • Long Beach, CA
  • NPI 1518908094
  Medicare reassignment Care Compare group NPD
• Sheri Palejwala, MD

  • Neurological Surgery Physician
  • Long Beach, CA
  • NPI 1548557671
  Medicare reassignment Care Compare group NPD
• Abraham Rayhaun, MD

  • Neurological Surgery Physician
  • Long Beach, CA
  • NPI 1356380737
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1053406454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061570",
            "telephone_number": "562-595-7696",
            "fax_number": "562-988-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061570",
            "telephone_number": "562-595-7696",
            "fax_number": "562-988-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST NEUROSURGICAL ASSOCIATES A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "GARNICA",
        "authorized_official_first_name": "NICOLLE",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-424-3924"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053406454",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast Neurosurgical Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coast Neurosurgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jevangeline Co-Vivo
• Coast City Medical Group Inc.
• Coast Hem Oncology
• Coast Hematology-Oncology Assoc. Med. Group Inc.
• Coast Nephrology Medical Group Inc.
• Coast Psychiatric Associates
• Coast Radiology and Medical Imaging (Coast Radiology and Medical Imaging Medical Group)
• Coast View Hospice Inc
• Coastal Children's Specialty Group, Inc.
• Coastal Community Senior Care, LLC (Home Instead Senior Care)

• Neurological Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.