Coast Physical Medicine Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

COAST PHYSICAL MEDICINE INC

Practice address

10956 Warner Ave
Fountain Valley, CA 92708-3853

Phone

(714) 963-0955

Fax

(714) 963-5775

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Marc Cubeiro, M.D.NPI 1639119852

Title

President

Phone

(714) 963-0955

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Marc Gregory Cubeiro, MD

  • Anesthesiology Physician
  • Newport Beach, CA
  • NPI 1639119852
  Medicare reassignment NPD Authorized official
• Katie Chen, NP

  • Acute Care Nurse Practitioner
  • La Jolla, CA
  • NPI 1528714011
  Medicare reassignment NPD
• Austin Warren, DC

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1174416655
  Medicare reassignment NPD
• Daniel Scott Warren, D.C.

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1235230889
  Medicare reassignment NPD
• John Alan Warren, D.C.

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1528169091
  Medicare reassignment NPD

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1154720373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17931 EUCLID ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085409",
            "telephone_number": "714-963-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 WARNER AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083853",
            "telephone_number": "714-963-0955",
            "fax_number": "714-963-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST PHYSICAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "CUBEIRO",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-963-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claude-Jean Langevin, M.D., D.M.D., Inc
• Jane L Claus, MFT
• Jillian Rae Clausi
• Sharri Lee Clonts, MA
• Coast Flurscopy Image
• Coast Pulmonary & Internal Medicine Associates
• Coast Surgical Consultants
• Coastal 7 Anesthesiology Professional Corporation
• Coastal Recovery, Inc.
• Coastal Wellness LLC

• Physical Medicine & Rehabilitation Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.