Coast Spine and Sports Medicine Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COAST SPINE AND SPORTS MEDICINE SURGERY CENTER LLC

Practice address

20321 Irvine Ave Ste F2
Newport Beach, CA 92660-0200

Phone

(714) 285-0014

Fax

(714) 285-0018

NPI assigned

Apr 23, 2021

Organization subpart

No

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

Authorized official

Name

Assad Michael Moheimani, MD

Title

Medical Director

Phone

(714) 285-0014

Specialties & licenses 1

Addresses

Practitioners 1

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

• A Michael Moheimani, M.D.

  • Orthopaedic Surgery Physician
  • Santa Ana, CA
  • NPI 1639253131
  NPD

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1265014781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20321 IRVINE AVE STE F2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600200",
            "telephone_number": "714-285-0014",
            "fax_number": "714-285-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20321 IRVINE AVE STE F2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600200",
            "telephone_number": "714-285-0014",
            "fax_number": "714-285-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST SPINE AND SPORTS MEDICINE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "MOHEIMANI",
        "authorized_official_first_name": "ASSAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-285-0014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadwiga Julia Close, M.D.
• William Hawley Cloud, M.D.
• Aaron Richard Clousing, NP
• CM Providers Medical Group, PC
• Coast OB-GYN
• Coast to Coast Anesthesia Services, LLC
• Coastal Care Mobile Physical Therapy Apc
• Coastal Counseling & Coaching, Inc
• Coastal Eye Care, a Medical Corporation
• Coastal Kids, a Professional Medical Corporation

• Ambulatory Surgical Clinic/Center in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.