Organization Active NPI

Coastal Endocrinology Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Laguna Beach, CA
National Provider Identifier
1609578798
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
COASTAL ENDOCRINOLOGY INC
Practice address
31852 Coast Hwy Ste 202
Laguna Beach, CA 92651-6765
Phone
(949) 499-5338
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Gabielle O'Connnor, MD
Title
Ceo
Phone
(949) 499-5338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

31852 Coast Hwy Ste 202
Laguna Beach, CA 92651-6765

Mailing address

31852 Coast Hwy Ste 202
Laguna Beach, CA 92651-6765
Phone (949) 499-5338

National Provider Directory

National Provider Directory

Locations

31852 Coast Hwy
Ste 202
Laguna Beach, CA 92651
Phone (949) 499-5338

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1609578798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY STE 202",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516765",
            "telephone_number": "949-499-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY STE 202",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516765",
            "telephone_number": "949-499-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ENDOCRINOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "O'CONNNOR",
        "authorized_official_first_name": "GABIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-499-5338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.