Coastal Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G48181 Issued in CA

Legal business name

COASTAL MEDICAL CORPORATION

Practice address

2406 Torrance Blvd
Torrance, CA 90501-2401

Phone

(310) 328-3421

Fax

(310) 328-3429

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Adam Ostriker, M.D.NPI 1669482303

Title

Sole Share Holder

Phone

(310) 328-3421

Specialties & licenses 1

Addresses

Practitioners 5

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

• Jeffery Adam Ostriker, M.D.

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1669482303
  NPD (past) Authorized official
• Cynthia Chau, PA-C

  • Medical Physician Assistant
  • Carson, CA
  • NPI 1346342102
  NPD (past)
• Yasmeen Khan, P.A-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1871529891
  NPD (past)
• Jennilyn T Lopez, PA-C

  • Physician Assistant
  • Huntington Beach, CA
  • NPI 1568628881
  NPD (past)
• June Y Makiyama, PA-C

  • Physician Assistant
  • Orange, CA
  • NPI 1508063827
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104842491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4269",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902749577",
            "telephone_number": "310-328-3421",
            "fax_number": "310-329-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012401",
            "telephone_number": "310-328-3421",
            "fax_number": "310-328-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTRIKER",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "SOLE SHARE HOLDER",
        "authorized_official_telephone_number": "310-328-3421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Dermatology Medical Associates Inc
• Coast Surgery Center L P
• Coastal Care Inc
• Coastal Care Inc.
• Coastal Home Healthcare LLC
• Coastal Perinatal Center Inc
• Coastal Physicians Medical Group, Inc.
• Coastal View Gastroenterology of South Bay
• Coastal View Gastroenterology of South Bay Inc
• Coastal View Gastroenterology, Inc

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Medicine Physician 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.