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

Last updated

Nov 26, 2018By 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. Gregory K Albaugh, D.O.NPI 1811936982

Title

President

Phone

(805) 983-6233

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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 K Albaugh, D.O.

  • Vascular Surgery Physician
  • Oxnard, CA
  • NPI 1811936982
  Authorized official Same address or phone
• 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 (Herbay Pharmacy North/InfusionRx)

• 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.