Coastal Speech Therapy Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19756 Issued in CA

Legal business name

COASTAL SPEECH THERAPY INC

Practice address

6264 Ferris SQ
San Diego, CA 92121-3204

Phone

(760) 405-1979

NPI assigned

Jul 19, 2016

Organization subpart

No

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

Authorized official

Name

Miguel Angel Montiel, M.S CCC-SLP

Title

Speech and Language Pathologist

Phone

(760) 405-1979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1295188779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6264 FERRIS SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213204",
            "telephone_number": "760-405-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6264 FERRIS SQ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213204",
            "telephone_number": "760-405-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "MONTIEL",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "760-405-1979",
        "authorized_official_credential": "M.S CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Psychiatric Medical Associates, Inc.
• Coastal Regenerative Orthopedics & Wellness Center Inc.
• Coastal Serenity Psychiatry a Professional Nursing Corporation
• Coastal Skin and Eye Institute, Inc.
• Coastal Sleep Solutions San Diego, Inc.
• Coastal Sports and Wellness, Inc
• Coastal Therapy Associates, Inc.
• Coastal Wellness Services, LLC
• Coastline Behavioral, LLC
• Amanda Georgianna Coates

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.