Coastside Adult Day Health Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

COASTSIDE ADULT DAY HEALTH CENTER

Practice address

645 Correas St
Half Moon Bay, CA 94019-1962

Phone

(650) 726-5067

Fax

(650) 726-8743

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By 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

Ms. Janie Bono, R.N.

Title

Executive Director

Phone

(650) 726-5067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568503282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 CORREAS ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191962",
            "telephone_number": "650-726-5067",
            "fax_number": "650-726-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 CORREAS ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191962",
            "telephone_number": "650-726-5067",
            "fax_number": "650-726-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTSIDE ADULT DAY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONO",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "650-726-5067",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cabrillo Unified School District
• Jennifer Cai, DDS
• Emma Cho
• Coastal Wellness and Physical Therapy, Inc (Christine Ely Physical Therapy)
• Coastpride, Inc.
• Coastside Family Medical Clinic, Inc
• Coastside Physical Therapy
• Irwin D Cohen, DPM
• William R Cohen
• Joseph R. Colella, CAADE/AOD INTERN

• Adult Day Care Clinic/Center in Half Moon Bay, CA
• Providers in Half Moon Bay, CA by specialty
• Adult Day Care Clinic/Center 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.