California Coast Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40769 Issued in CA

Legal business name

CALIFORNIA COAST MEDICAL CENTER

Practice address

18811 Huntington St
Suite #130
Huntington Beach, CA 92648-6002

Phone

(714) 596-1105

Fax

(714) 596-1155

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Christopher Kockinis, M.D.

Title

Director

Phone

(714) 596-1105

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1629299060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON ST",
            "address_2": "SUITE #130",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486002",
            "telephone_number": "714-596-1105",
            "fax_number": "714-596-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON ST",
            "address_2": "SUITE #130",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486002",
            "telephone_number": "714-596-1105",
            "fax_number": "714-596-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA COAST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "KOCKINIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-596-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.