Coastal Surgeons Medical Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COASTAL SURGEONS MEDICAL GROUP

Practice address

3998 Vista Way
Suite 200
Oceanside, CA 92056-4500

Phone

(760) 724-5352

NPI assigned

Jun 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberli Davis

Title

Office Manager

Phone

(760) 724-5352

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174561062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-724-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-724-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SURGEONS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-724-5352"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Healing and Counseling Services
• Coastal Hospitalist Medical Associates, Inc
• Coastal Mobile Therapy a Professional Physical Therapy Corp
• Coastal Orthopedics & Sports Medical Group, Inc
• Coastal Surgeons
• Evelyn Coates
• Berkley Paige Cobb, LMFT
• Sarah Elinor Cobb
• Caitlin Marie Cody, LCSW
• Kelly P Coffey, D.O.

• Surgery Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Surgery 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.