Coastal Wound Specialists

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

COASTAL WOUND SPECIALISTS

Practice address

1084 N El Camino Real Ste B385
Encinitas, CA 92024-1334

Phone

(619) 997-8425

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Matthew Cooper, MDNPI 1528353190

Title

Owner MD

Phone

(858) 485-1494

Specialties & licenses 2

Addresses

Other names 1

• Coastal Wound Specialists, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Matthew D Cooper, M.D.

  • Surgery Physician
  • La Jolla, CA
  • NPI 1528353190
  Medicare reassignment NPD Authorized official
• Collin Silas Smith, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Poway, CA
  • NPI 1801223896
  Medicare reassignment NPD

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1346019254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 N EL CAMINO REAL STE B385",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 N EL CAMINO REAL STE B385",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241334",
            "telephone_number": "619-997-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL WOUND SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "858-485-1494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Wound Specialists, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Pacific Dermatology Inc.
• Coastal Physical Medicine and Rehabilitation Inc.
• Coastal Skin and Eye Institute, Inc.
• Coastal Surgeons
• Coastal Therapy Group, a Psychological Corporation
• Celester Eugene Cobb, D.C.
• Bill G. Codner, O.D.
• Edward Barton Coffey, D.D.S., M.S., INC.
• Nancy Rae Cohen, MD
• Shereen Jessica Cohen, PH.D.

• Surgery Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.