Coastal Cancer Care Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

20A10187 Issued in CA

Legal business name

COASTAL CANCER CARE INC.

Practice address

1901 Solar Dr
Suite 240
Oxnard, CA 93036-2641

Phone

(805) 981-0808

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Todd J Yates

Title

Physician

Phone

(805) 981-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TODD YATES D.O. Former legal business name

Locations

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)…

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279411200000",
    "number": "1770816852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SOLAR DR",
            "address_2": "SUITE 240",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362641",
            "telephone_number": "805-981-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SOLAR DR",
            "address_2": "SUITE 240",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362641",
            "telephone_number": "805-981-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CANCER CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2010-07-18",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-981-0808",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "20A10187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1710197447",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TODD YATES D.O.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Coastal Eye Specialists Medical Group Inc
• Coastal Health Care, a Medical Corporation
• Coastal Occupational Medical Group, Inc
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• Hematology & Oncology Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; 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.