Coastal P&O LLC

Primary specialty

OrthotistTaxonomy code 222Z00000X

Legal business name

COASTAL P&O LLC

Practice address

26300 La Alameda Ste 120
Mission Viejo, CA 92691-6380

Phone

(714) 614-5981

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Chad Marquis, CPONPI 1093986754

Title

Certified Prosthetist/Orthotist

Phone

(714) 614-5981

Specialties & licenses 1

Addresses

Practitioners 1

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

• Chad R Marquis, C.P.O.

  • Prosthetist
  • Mission Viejo, CA
  • NPI 1093986754

  Orthotist

  NPD Authorized official

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1316612575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BUSHWOOD CIR",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940513",
            "telephone_number": "714-614-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 LA ALAMEDA STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916380",
            "telephone_number": "714-614-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL P&O LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "MARQUIS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CERTIFIED PROSTHETIST/ORTHOTIST",
        "authorized_official_telephone_number": "714-614-5981",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lee Cleveland-O'Keefe, M.S.
• Thomas David Clevenger, RRT
• Jon Frederick Cline, M.D.
• Coast 2 Coast Healthcare LLC
• Coast Radiology Imaging and Intervention Inc
• Coastal Vascular Specialists
• Raymond Coburn
• Karen Lynn Coffman
• Adee Cohen
• Briana Denise Cohen, R.N.

• All providers in Mission Viejo, CA
• Orthotist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.