Organization Active NPI

Coastal Infusions LLC

  • Home Health Agency
  • San Juan Capistrano, CA
National Provider Identifier
1417823212
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COASTAL INFUSIONS LLC
Practice address
33721 Calle Miramar
San Juan Capistrano, CA 92675-4925
Phone
(949) 397-7367
NPI assigned
Oct 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Brandon ProfittNPI 1982570784
Title
Owner/Operator
Phone
(949) 397-1326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

33721 Calle Miramar
San Juan Capistrano, CA 92675-4925

Mailing address

26801 Old Mission Rd
San Juan Capistrano, CA 92675-3200
Phone (949) 397-1326

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1417823212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26801 OLD MISSION RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753200",
            "telephone_number": "949-397-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33721 CALLE MIRAMAR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754925",
            "telephone_number": "949-397-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL INFUSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "PROFITT",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "949-397-1326"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.