Coast Pulmonary & Internal Medicine Associates

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G26245 Issued in CA

Legal business name

COAST PULMONARY & INTERNAL MEDICINE ASSOCIATES

Practice address

9940 Talbert Ave
Suite 101
Fountain Valley, CA 92708-5153

Phone

(714) 545-8700

Fax

(714) 545-8084

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jill Roell

Title

Office Manager

Phone

(714) 545-8700

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 3

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

• Neil Raaj Soni, M.D.

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Fountain Valley, CA
  • NPI 1306054150
  Medicare reassignment Care Compare group
• Viney Soni, M.D

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1447341409
  Medicare reassignment Care Compare group
• Mohitkumar Ardeshana, M.D.

  • Hospitalist Physician
  • Redlands, CA
  • NPI 1467867135
  Medicare reassignment NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1407974967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE",
            "address_2": "SUITE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-545-8700",
            "fax_number": "714-545-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE",
            "address_2": "SUITE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-545-8700",
            "fax_number": "714-545-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST PULMONARY & INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "ROELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-545-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A75677",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A37535",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G26245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0019730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane L Claus, MFT
• Jillian Rae Clausi
• Sharri Lee Clonts, MA
• Coast Flurscopy Image
• Coast Physical Medicine Inc
• Coast Surgical Consultants
• Coastal 7 Anesthesiology Professional Corporation
• Coastal Recovery, Inc.
• Coastal Wellness LLC
• Robert C Cockrell, MD

• Pulmonary Disease Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.