Coast Phlebotomy Services LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

COAST PHLEBOTOMY SERVICES LLC

Practice address

3619 Dearborn St
Oceanside, CA 92057-8622

Phone

(760) 503-4456

Fax

(858) 433-4424

NPI assigned

Oct 22, 2018

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John DonovanNPI 1629513734

Title

Owner

Phone

(760) 503-4453

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• John Francis Donovan

  • Phlebotomy Technician
  • Oceanside, CA
  • NPI 1629513734
  NPD (past) Authorized official

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1700352358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 DEARBORN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920578622",
            "telephone_number": "760-503-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 DEARBORN ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920578622",
            "telephone_number": "760-503-4456",
            "fax_number": "858-433-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST PHLEBOTOMY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-503-4453"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "00003547",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shae Lynn Clifton, LVN
• Brooke Climer, PMHNP
• Sydney Drew Clonts
• Tobiah M Clukey, FNP-C
• Coast Compounding Pharmacy LLC
• Coast Urgent Care and Family Practice
• Coastal Chiropractic Wellness Center
• Coastal Healing and Counseling Services
• Coastal Hospitalist Medical Associates, Inc
• Coastal Mobile Therapy a Professional Physical Therapy Corp

• Phlebotomy Technician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.