Coastal ENT Medical Group Inc

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

G30707 Issued in CA

Legal business name

COASTAL ENT MEDICAL GROUP INC

Doing business as

Coastal ENT Medical Group

Practice address

9834 Genesee Ave
Suite 416
La Jolla, CA 92037-1223

Phone

(858) 457-1287

Fax

(858) 452-9160

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William S. Halsey, MD

Title

President

Phone

(858) 458-1287

Specialties & licenses 1

Addresses

Other names 1

• Coastal ENT Medical Group Doing business as

Locations

Practitioners 1

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

• Peter Charles Belafsky, MD, PHD

  • Otolaryngology Physician
  • Sacramento, CA
  • NPI 1790768026
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353801600000",
    "number": "1568542256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 416",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-457-1287",
            "fax_number": "858-452-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 416",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-457-1287",
            "fax_number": "858-452-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ENT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-11-25",
        "status": "A",
        "authorized_official_last_name": "HALSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-458-1287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G30707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal ENT Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Clingingsmith
• Cloisters of la Jolla Inc
• Katelyn Cloyd, ND
• CMX Capital, LLC
• Coast Urology Medical Group, Inc
• Coastal Medical and Cosmetic Dermatology Inc
• Coastal Neurological Medical Group
• Gavin Drew Cobb, DO
• Marjorie Coburn, PH.D.
• Alvin Bob Coda, M.D.

• Otolaryngology/Facial Plastic Surgery Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2012; 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.