Coastal Sleep Solutions San Diego, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COASTAL SLEEP SOLUTIONS SAN DIEGO, INC.

Practice address

5414 Oberlin Dr Ste 235
San Diego, CA 92121-4744

Phone

(858) 617-0660

NPI assigned

Dec 22, 2022

Last updated

Sep 17, 2024By 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

Dr. Andrew D GamacheNPI 1043317720

Title

Manager

Phone

(858) 617-0660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Andrew D Gamache, DDS

  • Sleep Medicine (Family Medicine) Physician
  • San Diego, CA
  • NPI 1043317720

  General Practice

  Medicare reassignment NPD Authorized official
• Marijene Margate Ramos

  • Dental Hygienist
  • San Diego, CA
  • NPI 1881538510
  NPD (past)

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1770295602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 OBERLIN DR STE 235",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214744",
            "telephone_number": "858-617-0660",
            "fax_number": "858-617-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 OBERLIN DR STE 235",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214744",
            "telephone_number": "858-617-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SLEEP SOLUTIONS SAN DIEGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "GAMACHE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-617-0660",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Pain & Spinal Diagnostics Medical Group, Inc.
• Coastal Psychiatric Medical Associates, Inc.
• Coastal Regenerative Orthopedics & Wellness Center Inc. (Coastal Regenerative Orthopedics & Wellness Center)
• Coastal Serenity Psychiatry a Professional Nursing Corporation
• Coastal Skin and Eye Institute, Inc.
• Coastal Speech Therapy Inc
• Coastal Sports and Wellness, Inc (Coastal Sports and Wellness Medical Center)
• Coastal Therapy Associates, Inc.
• Coastal Wellness Services, LLC (Acti-Kare Responsive In-Home Care)
• Coastline Behavioral, LLC (Healthy U Recovery Scripps)

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.