Coastal Diagnostic Services Inc

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

Legal business name

COASTAL DIAGNOSTIC SERVICES INC

Practice address

1010 W la Veta Ave Ste 615
Orange, CA 92868-4310

Phone

(888) 268-8607

Fax

(951) 461-7074

NPI assigned

Jun 6, 2014

Organization subpart

No

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

Authorized official

Name

Steve Wong

Title

Owner

Phone

(888) 268-8607

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Laura Rodriguez, RT(R)

  • Radiologic Technologist
  • San Gabriel, CA
  • NPI 1346657574
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1245643279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61327",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926026044",
            "telephone_number": "888-268-8607",
            "fax_number": "951-461-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 615",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684310",
            "telephone_number": "888-268-8607",
            "fax_number": "951-461-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DIAGNOSTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-268-8607"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Annetta Clumeck, MS
• Maria Flordeliza G Clyde
• Carmelita R Co-Casquejo, MD
• Coastal Care Consulting
• Coastal Center for Obesity, Inc
• Coastal Sleep and Diagnostic Center of Orange LLC
• Leonard Hartiz Coaston
• Troy Nicholas Coaston, MD
• Kimberly Yvette Coates
• Tyson Cobb, M.D.

• Radiography Radiologic Technologist in Orange, CA
• Providers in Orange, CA by specialty
• Radiography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.