Coastal Occupational Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

COASTAL OCCUPATIONAL MEDICAL GROUP, INC

Practice address

1901 Outlet Center Dr
Suite 100
Oxnard, CA 93036-0663

Phone

(805) 988-3200

Fax

(805) 988-3707

NPI assigned

Feb 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Byer, M.D

Title

Medical Director

Phone

(805) 988-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093853608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 OUTLET CENTER DR",
            "address_2": "SUITE 100",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360663",
            "telephone_number": "805-988-3200",
            "fax_number": "805-988-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 OUTLET CENTER DR",
            "address_2": "SUITE 100",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360663",
            "telephone_number": "805-988-3200",
            "fax_number": "805-988-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL OCCUPATIONAL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-988-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.