Coastal Orthopedic & Spine Institute

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

COASTAL ORTHOPEDIC & SPINE INSTITUTE

Practice address

400 Camarillo Ranch Rd Ste 101
Camarillo, CA 93012-5901

Phone

(805) 273-5478

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Candice Brady, DO

Title

President

Phone

(313) 580-5495

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1144091828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMARILLO RANCH RD STE 101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAMARILLO RANCH RD STE 101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125901",
            "telephone_number": "805-273-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORTHOPEDIC & SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-580-5495",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Cline
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• Coastal Allergy Care Inc
• Coastal Diabetes Center LLC
• Coastal Foot Care Services, Inc
• Coastal Wellness MC
• Susan Elizabeth Cobb, LMFT
• Madison Cody
• Coffman Chiropractic Corp.
• Brent Coffman, DC

• Pain Medicine (Anesthesiology) Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.