Organization Active NPI

Catalina Coast, LLC

  • Clinical Medical Laboratory
  • Newport Beach, CA
National Provider Identifier
1275069049
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CATALINA COAST, LLC
Practice address
901 Dover Dr Ste 235
Newport Beach, CA 92660-5515
Phone
(507) 250-0570
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Sean Hicks
Title
Member
Phone
(507) 250-0570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CA Primary

Addresses

Primary practice location

901 Dover Dr Ste 235
Newport Beach, CA 92660-5515

Mailing address

901 Dover Dr Ste 235
Newport Beach, CA 92660-5515

National Provider Directory

National Provider Directory

Locations

901 Dover Dr
Ste 235
Newport Beach, CA 92660
Phone (507) 250-0570

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1275069049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 235",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605515",
            "telephone_number": "507-250-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALINA COAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "507-250-0570"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.