Organization Active NPI

Coastal Spine & Orthopedic Associates

  • Specialist
  • Costa Mesa, CA
National Provider Identifier
1093132904
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A76500 Issued in CA
Legal business name
COASTAL SPINE & ORTHOPEDIC ASSOCIATES
Practice address
3420 Bristol St Ste 700
Costa Mesa, CA 92626-7137
Phone
(949) 933-7012
Fax
(949) 387-3380
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Sonny RubinNPI 1891714374
Title
M,D./Medical Director
Phone
(949) 933-7012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A76500 CA Primary

Addresses

Primary practice location

3420 Bristol St Ste 700
Costa Mesa, CA 92626-7137

Mailing address

3420 Bristol St Ste 700
Costa Mesa, CA 92626-7137
Phone (949) 933-7012

National Provider Directory

National Provider Directory
Tax ID family
Coastal Spine and Orthopedics Specialist Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1093132904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST STE 700",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267137",
            "telephone_number": "949-933-7012",
            "fax_number": "949-387-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 BRISTOL ST STE 700",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267137",
            "telephone_number": "949-933-7012",
            "fax_number": "949-387-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPINE & ORTHOPEDIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "M,D./MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-933-7012"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A76500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

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