Organization Active NPI

Coast Psychiatry Medical Group

  • Psychiatry Physician
  • Los Altos, CA
National Provider Identifier
1265229553
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COAST PSYCHIATRY MEDICAL GROUP
Practice address
1000 Fremont Ave Ste 250a
Los Altos, CA 94024-6058
Phone
(650) 629-7532
Fax
(650) 282-4459
NPI assigned
Apr 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Dr. Inna Larsen, MDNPI 1316356223
Title
Psychiatrist
Phone
(650) 380-7194

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1000 Fremont Ave Ste 250a
Los Altos, CA 94024-6058

Mailing address

555 Bryant St Ste 378
Palo Alto, CA 94301-1704
Phone (650) 380-7194

Other practice location 1

1981 Farndon Ave
Los Altos, CA 94024-6943
Phone (650) 629-7532

National Provider Directory

National Provider Directory

Locations

1000 Fremont Ave
Ste 250A
Los Altos, CA 94024
Phone (650) 603-0392

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1265229553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BRYANT ST STE 378",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011704",
            "telephone_number": "650-380-7194",
            "fax_number": "650-282-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 250A",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246058",
            "telephone_number": "650-629-7532",
            "fax_number": "650-282-4459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1981 Farndon Ave",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940246943",
            "country_code": "US",
            "telephone_number": "650-629-7532",
            "fax_number": "650-282-4459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COAST PSYCHIATRY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "650-380-7194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.