Coast Internal Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COAST INTERNAL MEDICAL ASSOCIATES

Practice address

10861 Cherry Street
Suite 301
Los Alamitos, CA 90720-5403

Phone

(562) 431-3535

Fax

(562) 431-6707

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Anne Ryan, MD

Title

President Owner

Phone

(562) 431-3535

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Richard Jay Wexler, MD

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1679625362
  Medicare reassignment NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295892875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY STREET SUITE 301",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-431-3535",
            "fax_number": "562-431-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY STREET",
            "address_2": "SUITE 301",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-431-3535",
            "fax_number": "562-431-6707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST INTERNAL MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "562-431-3535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charisma Marie Clark, LVN
• Timothy Lee Clarke
• Claudia M Torres Therapy, a Prof Marriage & Family Counseling Corp
• Christopher Gray Cleary, DNP, PMHNP-BC
• Phillip Cleaver, LMFT
• Coast Urological Medical Group, Inc.
• Vicki Coccaro, MA., MFT
• McKenna Codizal
• Alan H Cohen, M.D.
• Gerald A Cohen, MD

• Internal Medicine Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.