Coastal Endovascular Center Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

COASTAL ENDOVASCULAR CENTER INC

Practice address

2841 N Ventura Rd Ste 100
Oxnard, CA 93036-2213

Phone

(805) 983-6233

Fax

(805) 983-2459

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gregory K Albaugh, D.O.

Title

President

Phone

(805) 983-6233

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• David Daniel Dearing, M.D.

  • Vascular Surgery Physician
  • Laguna Hills, CA
  • NPI 1851583173
  NPD (past)
• Tracy D Mandryk, NP

  • Acute Care Nurse Practitioner
  • Oxnard, CA
  • NPI 1356667059
  NPD (past)
• Heather Elizabeth Matheny, MD

  • Vascular Surgery Physician
  • Oxnard, CA
  • NPI 1912403809
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1598054645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 N VENTURA RD STE 100",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-6233",
            "fax_number": "805-983-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 N VENTURA RD STE 100",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-6233",
            "fax_number": "805-983-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ENDOVASCULAR CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "ALBAUGH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-983-6233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle D Clisby, MSW
• Clive Salmon, DPM, Apc
• Coalition for Family Harmony
• Coastal Addiction Professionals
• Coastal Cancer Care Inc.
• Coastal Eye Specialists Medical Group Inc
• Coastal Health Care, a Medical Corporation
• Coastal Occupational Medical Group, Inc
• Coastal Pediatrics Medical Group
• Coastal Pharmaceutica Services Corp

• Vascular Surgery Physician in Oxnard, CA
• Providers in Oxnard, 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 Nov 26, 2018; 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.