Coast Urology Medical Group, Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

COAST UROLOGY MEDICAL GROUP, INC

Practice address

9850 Genesee Ave
Ste 440
La Jolla, CA 92037-1224

Phone

(858) 453-5944

Fax

(858) 552-2182

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip Andrew Butler, M.D.

Title

President

Phone

(858) 453-5944

Specialties & licenses 1

Addresses

Tax ID family

Coast Urology Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coast Urology Medical Group, Inc

  • Urology Physician
  • Encinitas, CA
  • NPI 1487682621
  NPD tax ID

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548292634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 440",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-453-5944",
            "fax_number": "858-552-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "STE 440",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-453-5944",
            "fax_number": "858-552-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST UROLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-453-5944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Taylor Clifford, M.D.
• Kelsey Clingingsmith
• Cloisters of la Jolla Inc
• Katelyn Cloyd, ND
• CMX Capital, LLC
• Coastal ENT Medical Group Inc
• Coastal Medical and Cosmetic Dermatology Inc
• Coastal Neurological Medical Group
• Gavin Drew Cobb, DO
• Marjorie Coburn, PH.D.

• Urology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.