Coastal Pacific Dermatology Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COASTAL PACIFIC DERMATOLOGY INC.

Practice address

345 Saxony Rd Ste 201
Encinitas, CA 92024-2787

Phone

(619) 630-0367

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sheila Meena Krishna, MDNPI 1689817983

Title

President

Phone

(562) 712-0775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Sheila Meena Krishna, MD

  • Dermatology Physician
  • San Diego, CA
  • NPI 1689817983
  Medicare reassignment NPD Authorized official
• Brooke O'Neill, PA-C

  • Obstetrics & Gynecology Physician
  • La Jolla, CA
  • NPI 1851037006
  Medicare reassignment

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1639865397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13604 BOQUITA DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143408",
            "telephone_number": "562-712-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SAXONY RD STE 201",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242787",
            "telephone_number": "619-630-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PACIFIC DERMATOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "KRISHNA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "MEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-712-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Urology Medical Group, Inc
• Coastal Cardiovascular Care Inc
• Coastal Cardiovascular Care Inc
• Coastal Gastroenterology, a Prof. Corp.
• Coastal Hearing Aid Center
• Coastal Physical Medicine and Rehabilitation Inc.
• Coastal Skin and Eye Institute, Inc.
• Coastal Surgeons
• Coastal Therapy Group, a Psychological Corporation
• Coastal Wound Specialists

• Dermatology Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.