Coastal Surgical Physician-Assistant Partners

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

20A10547 Issued in CA

Legal business name

COASTAL SURGICAL PHYSICIAN-ASSISTANT PARTNERS

Practice address

300 Carlsbad Village Dr
Suite 108a #395
Carlsbad, CA 92008-2900

Phone

(619) 549-3284

Fax

(760) 637-5440

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Christopher N CrespoNPI 1982991030

Title

Secretary

Phone

(619) 549-3284

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Christopher N Crespo, PA

  • Surgical Physician Assistant
  • Oceanside, CA
  • NPI 1982991030
  Medicare reassignment Authorized official
• Mohammad Jamshidi-Nezhad, DO F.A.C.S.

  • Vascular Surgery Physician
  • Oceanside, CA
  • NPI 1891797023
  Medicare reassignment NPD

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1548635915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CARLSBAD VILLAGE DR",
            "address_2": "SUITE 108A #395",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082900",
            "telephone_number": "619-549-3284",
            "fax_number": "760-637-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CARLSBAD VILLAGE DR",
            "address_2": "SUITE 108A #395",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082900",
            "telephone_number": "619-549-3284",
            "fax_number": "760-637-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SURGICAL PHYSICIAN-ASSISTANT PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "CRESPO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "619-549-3284"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "20A10547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeri Coast, LCSW
• Coastal a S C LLC
• Coastal Counseling
• Coastal Horizon Nursing Inc
• Coastal Pain & Spinal Diagnostics Medical Group, Inc.
• Coastal Wellness Clinic Apc
• Coastline Family Counseling Group, Corp
• Ayanna Cobb, DACM L.AC.
• Leslie Ruby Cobian
• Andrea Coffey, DPT

• Vascular Surgery Physician in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.