Active NPI
Coastline Pain Center
- Non-Pharmacy Dispensing Site
- Westminster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- COASTLINE PAIN CENTER
- Practice address
- 15606 Brookhurst St Ste a
Westminster, CA 92683-7582 - Phone
- (714) 531-7730
- NPI assigned
- Feb 23, 2010
- Last updated
- Mar 1, 2011
- Organization subpart
- Yes
- Parent organization
- COASTLINE PAIN CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phong Tran, M.D.
- Title
- Medical Director
- Phone
- (714) 531-7730
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Primary |
Addresses
Primary practice location
15606 Brookhurst St Ste a
Westminster, CA 92683-7582
Mailing address
2980 N Beverly Glen Cir Ste 101
Los Angeles, CA 90077-1726
Phone (310) 474-9809
National Provider Directory
National Provider Directory- Part of
- Coastline Pain Center
Locations
2980 N Beverly Glen Cir
Ste 101
Los Angeles, CA 90077
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Westminster, CA
- NPI 1184609885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298937600000",
"number": "1639491228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 N BEVERLY GLEN CIR STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900771726",
"telephone_number": "310-474-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15606 BROOKHURST ST STE A",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926837582",
"telephone_number": "714-531-7730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTLINE PAIN CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COASTLINE PAIN CENTER",
"enumeration_date": "2010-02-23",
"last_updated": "2011-03-01",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "PHONG",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "714-531-7730",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.