Coastal Addiction Center, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

COASTAL ADDICTION CENTER, INC.

Practice address

947 S Anaheim Blvd Ste 270
Anaheim, CA 92805-5584

Phone

(714) 533-1491

Fax

(714) 533-0237

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

David T Asher, M.D.

Title

President

Phone

(714) 533-1491

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1306399159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 270",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055584",
            "telephone_number": "714-533-1491",
            "fax_number": "714-533-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 270",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055584",
            "telephone_number": "714-533-1491",
            "fax_number": "714-533-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ADDICTION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "ASHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-533-1491",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastline Med Management Inc.
• Alan Coates
• Kathleen M Coates, MA
• Thomas Cochran, CA

• Substance Abuse Rehabilitation Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.