NPIMap

Organization Active NPI

Coastal Pain & Spinal Diagnostics Medical Group, Inc.

  • Pain Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1710044029
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
COASTAL PAIN & SPINAL DIAGNOSTICS MEDICAL GROUP, INC.
Practice address
6221 Metropolitan St
Suite 201
Carlsbad, CA 92009-3096
Phone
(760) 753-7127
Fax
(760) 607-0282
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Susana Bosquez
Title
Practice Administrator
Phone
(760) 753-7127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

6221 Metropolitan St
Suite 201
Carlsbad, CA 92009-3096

Mailing address

6221 Metropolitan St Ste 201
Carlsbad, CA 92009-3096
Phone (760) 753-7127

Other practice location 1

11770 Bernardo Plaza Ct Ste 201
San Diego, CA 92128-2424
Phone (760) 753-7127

Other practice location 2

2020 Camino Del Rio N Ste 805
San Diego, CA 92108-1546
Phone (760) 753-7127

Other names 1

  • Nathan Miller MD Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050705000844 CA Part B Supplier - Clinic/Group Practice 3577509132 Receives reassigned benefits from 15 practitioners
Practice locations: Carlsbad, CA; San Diego, CA

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
05D1105031Coastal Pain & Spinal Diagnostics6221 Metropolitan St, Ste 201, Carlsbad, CA 92009ComplianceFeb 23, 2027

National Provider Directory

National Provider Directory

Locations

6221 Metropolitan St
Carlsbad, CA 92009
Phone (760) 602-9500

2020 Camino del Rio N
Ste 805
San Diego, CA 92108
Phone (760) 753-7127

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1710044029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST STE 201",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-753-7127",
            "fax_number": "760-334-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST",
            "address_2": "SUITE 201",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-753-7127",
            "fax_number": "760-607-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11770 Bernardo Plaza Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282424",
            "country_code": "US",
            "telephone_number": "760-753-7127",
            "fax_number": "760-334-0399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Camino Del Rio N Ste 805",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921081546",
            "country_code": "US",
            "telephone_number": "760-753-7127",
            "fax_number": "760-334-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL PAIN & SPINAL DIAGNOSTICS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "BOSQUEZ",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "760-753-7127"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nathan Miller MD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.