Coast Pediatrics Carmel Valley

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A55826 Issued in CA

Legal business name

COAST PEDIATRICS CARMEL VALLEY

Practice address

5965 Village Drive, Suite 201
San Diego, CA 92130

Phone

(858) 755-7337

Fax

(858) 755-7338

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Ann Conley

Title

Office Manager

Phone

(858) 794-7337

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 4

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

• Dana Oren Ben-Artzi, MD

  • Pediatrics Physician
  • Santa Monica, CA
  • NPI 1891969564
  NPD (past)
• Alicia Christiansen, MD

  • Pediatrics Physician
  • Encinitas, CA
  • NPI 1992750095
  NPD (past)
• Tina Udhwani Fallon

  • Pediatrics Physician
  • Oceanside, CA
  • NPI 1013371004

  Single Specialty

  NPD (past)
• Jamie G Lien, M.D.

  • Pediatrics Physician
  • San Diego, CA
  • NPI 1609880723
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1427434679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 VILLAGE DRIVE, SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92130",
            "telephone_number": "858-755-7337",
            "fax_number": "858-755-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 VILLAGE DRIVE, SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92130",
            "telephone_number": "858-755-7337",
            "fax_number": "858-755-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST PEDIATRICS CARMEL VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-794-7337",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A55826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chessa Coad
• Hannah Rene Coad
• Katherine Coakley, M.D.
• Coast Center for Orthopedic and Arthroscopic Surgery LLC (Sharp San Diego Surgery Center)
• Coast Pediatrics 4S
• Coast Surgery Center - Navy Resource Sharing
• Coast to Coast Therapy Inc.
• Coastal Bridge LLC
• Coastal Detox of Southern California LLC
• Coastal Diagnostics Inc

• Pediatrics Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.