Coast Medical Service & Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COAST MEDICAL SERVICE & SUPPLIES INC

Practice address

22762 Aspan St
Ste 205B
Lake Forest, CA 92630-1604

Phone

(541) 260-3471

Fax

(541) 756-7716

NPI assigned

Jul 30, 2014

Organization subpart

No

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

Authorized official

Name

Mehrdad Gerami

Title

Ceo

Phone

(541) 260-3471

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1487062782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22762 ASPAN ST",
            "address_2": "STE 205B",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301604",
            "telephone_number": "541-260-3471",
            "fax_number": "541-756-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22762 ASPAN ST",
            "address_2": "STE 205B",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301604",
            "telephone_number": "541-260-3471",
            "fax_number": "541-756-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST MEDICAL SERVICE & SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "GERAMI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-260-3471"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Clark, LMFT
• Julie Ann Claveria, M.D.
• Nicole Ann Clelland
• Bailey Clement, MS CF-SLP
• Jessica Clemente, OTR/L
• Coastline Endocrinology Associates, P.C.
• Stephanie Coe
• Patricia Jackson Colando, MS CCCSLP
• Kaleen Pearl Cole
• Tyler Coleman

• Durable Medical Equipment & Medical Supplies in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.