Organization Active NPI

Coastline Support, Inc.

  • Community/Behavioral Health Agency
  • Santa Cruz, CA
National Provider Identifier
1063839330
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COASTLINE SUPPORT, INC.
Practice address
1509 Seabright Ave.
C-1
Santa Cruz, CA 95062
Phone
(831) 426-6436
Fax
(831) 426-6891
NPI assigned
Mar 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Scott N Beesley
Title
President
Phone
(831) 426-6436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1509 Seabright Ave.
C-1
Santa Cruz, CA 95062

Mailing address

1509 Seabright Ave.
C-1
Santa Cruz, CA 95062
Phone (831) 426-6436

National Provider Directory

National Provider Directory

Locations

1509 Seabright Ave
Ste C1
Santa Cruz, CA 95062
Phone (831) 239-9874

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1063839330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 SEABRIGHT AVE.",
            "address_2": "C-1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-426-6436",
            "fax_number": "831-426-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 SEABRIGHT AVE.",
            "address_2": "C-1",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-426-6436",
            "fax_number": "831-426-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "BEESLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-426-6436"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.