Coastal Eye Care, a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COASTAL EYE CARE, A MEDICAL CORPORATION

Practice address

400 Newport Center Dr Ste 200
Newport Beach, CA 92660-7601

Phone

(949) 644-1112

Fax

(949) 721-9676

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Larisa A Canter, MDNPI 1265506067

Title

President

Phone

(949) 644-1112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16772/brand/1/csg/1/fhir/r4

Practitioners 5

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

• Larisa A Canter, M.D.

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1265506067
  Medicare reassignment NPD Authorized official
• John Scott Rossi, OD

  • Optometrist
  • Ontario, CA
  • NPI 1578543161
  NPD (past)
• Evan B Thomas, OD

  • Optometrist
  • Newport Beach, CA
  • NPI 1407881477
  NPD (past)
• Jessa Marie Vankleeck, OD

  • Optometrist
  • Newport Beach, CA
  • NPI 1255991840
  NPD (past)
• Matthew Thomas Hendricks, OD

  • Optometrist
  • Saint Paul, MN
  • NPI 1104391325
  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1700084159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 307",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-644-1112",
            "fax_number": "949-721-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607601",
            "telephone_number": "949-644-1112",
            "fax_number": "949-721-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL EYE CARE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "CANTER",
        "authorized_official_first_name": "LARISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-644-1112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Counseling & Coaching, Inc
• Coastal Kids, a Professional Medical Corporation
• Coastal Minds Counseling Center
• Coastal Psychological Services, Inc.
• Coastal Recovery Health and Wellness, Inc.
• Coastal Spine and Orthopedics Specialist, Inc

• Ophthalmology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.