Coastal ER XI, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

COASTAL ER XI, LLC

Practice address

12314 Potranco Rd Ste 102
San Antonio, TX 78253-4125

Phone

(210) 981-3001

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haley Lorin Riley

Title

Credentialing Manager

Phone

(361) 851-6626

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Yu, MD, PHARMD, MBA, MPH

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1801126735
  NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1558132365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S STAPLES ST STE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112115",
            "telephone_number": "361-851-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12314 POTRANCO RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534125",
            "telephone_number": "210-981-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ER XI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "LORIN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "361-851-6626"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernesto Jr Pablico Co
• Richard Co
• Linda Coakley, RN
• Diane Laverne Coalson, PHD, LP
• Coastal ER VII, LLC (Physicians PremiER)
• Coastal Home Health Care, Inc
• Coastal Physicians Regional, PLLC
• Cassie Layne Coates, PNP
• Joann M Coates, PH.D.P.C.
• Karilyn Le'Von Coates, RBT

• Emergency Care Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.