Organization Active NPI

West Coast Infectious Diseases PA

  • Infectious Disease Physician
  • New Port Richey, FL
National Provider Identifier
1659483329
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
WEST COAST INFECTIOUS DISEASES PA
Practice address
8607 Easthaven CT Ste 101
New Port Richey, FL 34655-5217
Phone
(727) 669-6800
Fax
(727) 669-2540
NPI assigned
Aug 31, 2006
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Ms. Renee L Mancine
Title
Administrator
Phone
(727) 669-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

8607 Easthaven CT Ste 101
New Port Richey, FL 34655-5217

Mailing address

8607 Easthaven CT Ste 101
New Port Richey, FL 34655-5217
Phone (727) 669-6800

Other practice location 1

1840 Mease Dr
Suite 319
Safety Harbor, FL 34695-6602
Phone (727) 669-6800

Other identifiers 1

IdentifierTypeStateIssuer
274992100MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address WestCoastID@WestCoastID.ssdirect.aprima.com Direct
Direct Messaging Address WestCoastID@WestCoastID.ssdirect.aprima.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520001085 FL Part B Supplier - Clinic/Group Practice 4880685627 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: New Port Richey, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1058461West Coast Infectious Diseases-New Port Richey8607 Easthaven Court Suite 101, New Port Richey, FL 34655Certificate of waiverAug 5, 2026

National Provider Directory

National Provider Directory

Locations

501 S Lincoln Ave
Ste 21
Clearwater, FL 33756
Phone (727) 442-5500

8607 Easthaven Ct
Ste 101
New Port Richey, FL 34655
Phone (727) 669-6800

1840 Mease Dr
Ste 319
Safety Harbor, FL 34695
Phone (727) 669-6800

1501 S Pinellas Ave
Ste B
Tarpon Springs, FL 34689
Phone (727) 938-6800

2039 Little Rd
Trinity, FL 34655
Phone (727) 372-3354

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1659483329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 EASTHAVEN CT STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555217",
            "telephone_number": "727-669-6800",
            "fax_number": "727-669-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 EASTHAVEN CT STE 101",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555217",
            "telephone_number": "727-669-6800",
            "fax_number": "727-669-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Mease Dr",
            "address_2": "Suite 319",
            "address_purpose": "LOCATION",
            "city": "Safety Harbor",
            "state": "FL",
            "postal_code": "346956602",
            "country_code": "US",
            "telephone_number": "727-669-6800",
            "fax_number": "727-669-2540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST COAST INFECTIOUS DISEASES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "MANCINE",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-669-6800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274992100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WestCoastID@WestCoastID.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1840 Mease Dr",
            "address_2": "Suite 319",
            "city": "Safety Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346956602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WestCoastID@WestCoastID.ssdirect.aprima.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8607 Easthaven Ct Ste 101",
            "city": "New Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346555217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.