Coast Medical Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A83666 Issued in CA

Legal business name

COAST MEDICAL CENTER, INC.

Practice address

227 N El Camino Real Ste 100
Encinitas, CA 92024-5821

Phone

(760) 436-5000

Fax

(760) 436-9700

NPI assigned

Nov 28, 2006

Last updated

Jun 8, 2015By 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

Mr. Steven Williamson

Title

Owner

Phone

(760) 436-5000

Specialties & licenses 2

Addresses

Locations

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.

• Amad Edward Kadry, M.D.

  • Family Medicine Physician
  • Vista, CA
  • NPI 1396855235
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1740356005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821",
            "telephone_number": "760-436-5000",
            "fax_number": "760-944-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821",
            "telephone_number": "760-436-5000",
            "fax_number": "760-436-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-436-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G70448",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Andrew Clonts, LCSW
• Christine Elizabeth Clotfelter, D.O.
• Cloud Nine Clinical Consultants
• Pamela E. Cloud, M.P.T.
• Elaina Suzanne Clougherty
• Coast Urology Medical Group, Inc
• Coastal Cardiovascular Care Inc
• Coastal Cardiovascular Care Inc
• Coastal Gastroenterology, a Prof. Corp.
• Coastal Hearing Aid Center (Coastal Hearing)

• Family Medicine Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.