Active NPI
Coastline Pain Center
- Specialist
- Westminster, CA
National Provider Identifier
1659554061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G74233
- Legal business name
- COASTLINE PAIN CENTER
- Practice address
- 15606 Brookhurst St Ste a
Westminster, CA 92683-7582 - Phone
- (714) 531-7730
- Fax
- (714) 531-7793
- NPI assigned
- Dec 7, 2007
- Last updated
- Mar 24, 2008
- 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 H. Tran, M.D.
- Title
- Owner
- Phone
- (714) 531-7730
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G74233 | CA | Primary |
Addresses
Primary practice location
15606 Brookhurst St Ste a
Westminster, CA 92683-7582
Mailing address
PO Box 9
Garden Grove, CA 92842-0009
Phone (714) 531-7730
National Provider Directory
National Provider Directory- Part of
- Coastline Pain Center
Practitioners & affiliated clinicians
Practitioners 4
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
-
- Anesthesiology Physician
- Fountain Valley, CA
- NPI 1780603365
-
- Physical Therapist
- Westminster, CA
- NPI 1508828799
-
- Neurology Physician
- Fountain Valley, CA
- NPI 1821059957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206316800000",
"number": "1659554061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928420009",
"telephone_number": "714-531-7730",
"fax_number": "714-531-7793"
},
{
"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",
"fax_number": "714-531-7793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTLINE PAIN CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COASTLINE PAIN CENTER",
"enumeration_date": "2007-12-07",
"last_updated": "2008-03-24",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "PHONG",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-531-7730",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G74233",
"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 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.