Organization Active NPI

Coastal Allergy Care Inc

  • Specialist
  • Camarillo, CA
National Provider Identifier
1720240872
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G34328 Issued in CA
Legal business name
COASTAL ALLERGY CARE INC
Practice address
2412 N Ponderosa Dr Ste B111
Camarillo, CA 93010-2379
Phone
(805) 482-8989
Fax
(805) 987-2855
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Lewis Kanter, MD
Title
President
Phone
(805) 482-8989

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G34328 CA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A74064 CA

Addresses

Primary practice location

2412 N Ponderosa Dr Ste B111
Camarillo, CA 93010-2379

Mailing address

2412 N Ponderosa Dr Ste B111
Camarillo, CA 93010-2379
Phone (805) 482-8989

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1720240872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N PONDEROSA DR STE B111",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102379",
            "telephone_number": "805-482-8989",
            "fax_number": "805-987-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N PONDEROSA DR STE B111",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102379",
            "telephone_number": "805-482-8989",
            "fax_number": "805-987-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ALLERGY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "KANTER",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-482-8989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G34328",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A74064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.

Verify at the official NPI Registry.