Coast Center for Orthopedic and Arthroscopic Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

080000519 Issued in CA

Legal business name

COAST CENTER FOR ORTHOPEDIC AND ARTHROSCOPIC SURGERY LLC

Doing business as

Sharp San Diego Surgery Center

Practice address

5643 Copley Dr Ste 100
San Diego, CA 92111-7903

Phone

(858) 268-3566

Fax

(858) 268-0430

NPI assigned

Sep 11, 2006

Last updated

Dec 19, 2025By 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

Mrs. Stacy Pena

Title

Regional Administrator

Phone

(858) 268-3566

Specialties & licenses 1

Addresses

Other names 1

• Sharp San Diego Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Coast Surgery CenterCCN 05C0001414

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tal David, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Diego, CA
  • NPI 1629092473
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1386748440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5643 COPLEY DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117903",
            "telephone_number": "858-268-3566",
            "fax_number": "858-268-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5643 COPLEY DR STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117903",
            "telephone_number": "858-268-3566",
            "fax_number": "858-268-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3444 Kearny Villa Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231960",
            "country_code": "US",
            "telephone_number": "858-268-3566 x113",
            "fax_number": "858-268-4682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COAST CENTER FOR ORTHOPEDIC AND ARTHROSCOPIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "858-268-3566",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "080000519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp San Diego Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Grace Clyne, RN
• Manolito Rivera Co, BSN - RN
• Chessa Coad
• Hannah Rene Coad
• Katherine Coakley, M.D.
• Coast Pediatrics 4S
• Coast Pediatrics Carmel Valley
• Coast Surgery Center - Navy Resource Sharing
• Coast to Coast Therapy Inc.
• Coastal Bridge LLC

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.