Coastal Skin and Eye Institute, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COASTAL SKIN AND EYE INSTITUTE, INC.

Practice address

477 N El Camino Real Ste C300
Encinitas, CA 92024-1356

Phone

(760) 257-5550

Fax

(858) 252-2053

NPI assigned

Jun 7, 2019

Organization subpart

Yes

Parent organization

COASTAL SKIN & EYE INSTITUTE, INC.As reported in NPPES

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

Authorized official

Name

Ms. Jeannene Graham

Title

Practice Manager

Phone

(858) 943-2540

Specialties & licenses 2

Addresses

Electronic endpoints 1

Part of

Coastal Skin and Eye Inst

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Coastal Skin and Eye Institute, Inc.

  • Dermatology Physician
  • San Diego, CA
  • NPI 1790232015
  NPPES parent name

Practitioners 1

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

• Christopher V Crosby, M.D., PH.D.

  • MOHS-Micrographic Surgery Physician
  • La Mesa, CA
  • NPI 1497931380

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1083273684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 CARMEL MOUNTAIN RD STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304861",
            "telephone_number": "858-943-2540",
            "fax_number": "858-252-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE C300",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241356",
            "telephone_number": "760-257-5550",
            "fax_number": "858-252-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Saxony Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242875",
            "country_code": "US",
            "telephone_number": "760-257-5550",
            "fax_number": "858-252-2053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL SKIN AND EYE INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL SKIN & EYE INSTITUTE, INC.",
        "enumeration_date": "2019-06-07",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JEANNENE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "858-943-2540",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgraham@coastalskineye.com",
            "affiliation": "Y",
            "endpointDescription": "CSEI E-mail",
            "affiliationName": "Coastal Skin & Eye Institute, Inc.",
            "address_1": "5550 Carmel Mountain Rd Ste 206",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921304861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Coastal Cardiovascular Care Inc
• Coastal Gastroenterology, a Prof. Corp.
• Coastal Hearing Aid Center
• Coastal Pacific Dermatology Inc.
• Coastal Physical Medicine and Rehabilitation Inc.
• Coastal Surgeons
• Coastal Therapy Group, a Psychological Corporation
• Coastal Wound Specialists
• Celester Eugene Cobb, D.C.
• Bill G. Codner, O.D.

• Ophthalmology Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.