Organization Active NPI

Pacific Coast Osteopathy

  • Family Medicine Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1235477498
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9974 Issued in CA
Legal business name
PACIFIC COAST OSTEOPATHY
Practice address
550 Silver Spur Rd Ste 240
Rolling Hills Estates, CA 90275-3612
Phone
(310) 792-8900
Fax
(310) 792-8907
NPI assigned
Jan 23, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Tina Ashrafzadeh, DONPI 1730341835
Title
Physician/Owner
Phone
(310) 792-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20130806000239 CA Part B Supplier - Clinic/Group Practice 9931341856 Receives reassigned benefits from 2 practitioners
Practice locations: Rolling Hills Estates, CA

National Provider Directory

National Provider Directory

Locations

550 Silver Spur Rd
Ste 240
Rolling Hills Estates, CA 90275
Phone (310) 792-8900

21311 Hawthorne Blvd
Ste 103
Torrance, CA 90503
Phone (310) 792-8900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A9974 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

550 Silver Spur Rd Ste 240
Rolling Hills Estates, CA 90275-3612

Mailing address

550 Silver Spur Rd Ste 240
Rolling Hills Estates, CA 90275-3612
Phone (310) 792-8900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 5, 2021.

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1235477498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SILVER SPUR RD STE 240",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902753612",
            "telephone_number": "310-792-8900",
            "fax_number": "310-792-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SILVER SPUR RD STE 240",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902753612",
            "telephone_number": "310-792-8900",
            "fax_number": "310-792-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST OSTEOPATHY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "ASHRAFZADEH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "310-792-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.