Coastal Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COASTAL MEDICAL LLC

Practice address

612 SE Jackson St # a
Roseburg, OR 97470-4989

Phone

(458) 803-0999

Fax

(458) 803-0900

NPI assigned

Jul 5, 2022

Organization subpart

Yes

Parent organization

COASTAL MEDICAL SERVICES INCAs reported in NPPES

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

Authorized official

Name

Mehrdad Gerami, RT

Title

President

Phone

(541) 982-5040

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Part of

Coastal Medical Services Inc

Locations

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1104559491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SE JACKSON ST STE 2A",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704956",
            "telephone_number": "458-803-0902",
            "fax_number": "541-391-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SE JACKSON ST # A",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704989",
            "telephone_number": "458-803-0999",
            "fax_number": "458-803-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL MEDICAL SERVICES INC",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "GERAMI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-982-5040",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.KAREO.COM",
            "affiliation": "N",
            "endpointDescription": "EHR SYSTEM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2225 NW Stewart Pkwy",
            "city": "Roseburg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "974711650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Clolinger
• Mary Clyde
• Patrick W Clyde, MD
• Christen Coady
• Coastal Diagnostic LLC
• Cristina Margaret Coffman, MA, QMHP
• Curtis J Cole, PA-C
• Gretchen Cole, LPN WCC
• Jeff R. Cole, PH.D.
• Sheila Kristine Cole, LMT

• Durable Medical Equipment & Medical Supplies in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.