Coastalmed Medical Services, LLC.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COASTALMED MEDICAL SERVICES, LLC.

Practice address

74998 Country Club Dr Ste 220-510
Palm Desert, CA 92260-1970

Phone

(951) 393-8647

NPI assigned

Feb 2, 2021

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Allen Caldwell

Title

Partner

Phone

(951) 393-8647

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1346831187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74998 COUNTRY CLUB DR STE 220-510",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601970",
            "telephone_number": "951-393-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74998 COUNTRY CLUB DR STE 220-510",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601970",
            "telephone_number": "951-393-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTALMED MEDICAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-393-8647"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.