Organization Active NPI

Coast to Coast Therapy Inc.

  • Multi-Specialty Clinic/Center
  • San Diego, CA
National Provider Identifier
1063859460
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COAST TO COAST THERAPY INC.
Practice address
3980 9TH Ave # 1
San Diego, CA 92103-3244
Phone
(619) 618-9638
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Steven Perunovich, OTR/LNPI 1336550706
Title
Ceo
Phone
(619) 618-9638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X CA Primary

Addresses

Primary practice location

3980 9TH Ave # 1
San Diego, CA 92103-3244

Mailing address

3980 9TH Ave # 1
San Diego, CA 92103-3244
Phone (619) 618-9638

National Provider Directory

National Provider Directory

Locations

3980 9th Ave
Ste 1
San Diego, CA 92103
Phone (619) 618-9638

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": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1063859460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 9TH AVE # 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033244",
            "telephone_number": "619-618-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 9TH AVE # 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033244",
            "telephone_number": "619-618-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST TO COAST THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "PERUNOVICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-618-9638",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.