Coastline Endocrinology Associates, P.C.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

COASTLINE ENDOCRINOLOGY ASSOCIATES, P.C.

Practice address

25381 Commercentre Dr
Lake Forest, CA 92630-8860

Phone

(714) 566-4022

NPI assigned

Jul 29, 2025

Organization subpart

No

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

Authorized official

Name

Bradley Sean Neutel, MDNPI 1104482389

Title

President

Phone

(714) 566-4022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Bradley Sean Neutel, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Lake Forest, CA
  • NPI 1104482389
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1750264685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25381 COMMERCENTRE DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308860",
            "telephone_number": "714-566-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25381 COMMERCENTRE DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308860",
            "telephone_number": "714-566-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE ENDOCRINOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "NEUTEL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-566-4022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Claveria, M.D.
• Nicole Ann Clelland
• Bailey Clement, MS CF-SLP
• Jessica Clemente, OTR/L
• Coast Medical Service & Supplies Inc
• Stephanie Coe
• Patricia Jackson Colando, MS CCCSLP
• Kaleen Pearl Cole
• Tyler Coleman
• College Living Experience

• Endocrinology, Diabetes & Metabolism Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.