Coastal Concierge Physicians

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

COASTAL CONCIERGE PHYSICIANS

Practice address

917 A Ave
Coronado, CA 92118-2628

Phone

(619) 675-9502

Fax

(619) 566-4943

NPI assigned

Jul 30, 2026

Last updated

Jul 30, 2026By 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

Dr. Michael Holman, MD

Title

President

Phone

(619) 762-4991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1578486338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 A AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182628",
            "telephone_number": "619-675-9502",
            "fax_number": "619-566-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 A AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182628",
            "telephone_number": "619-675-9502",
            "fax_number": "619-566-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CONCIERGE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-762-4991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Coronado, CA
• Providers in Coronado, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.