Coastal Podiatry Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

COASTAL PODIATRY INC

Doing business as

Coastal Podiatry Inc

Practice address

2 James Way Ste 109
Pismo Beach, CA 93449-4974

Phone

(805) 773-3668

Fax

(805) 773-1043

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Richard Jay Norman, DPMNPI 1831119718

Title

Chief Executive Officer

Phone

(805) 773-3668

Specialties & licenses 1

Addresses

Other names 1

• Coastal Podiatry Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Richard J Norman, DPM

  • Podiatrist
  • Pismo Beach, CA
  • NPI 1831119718
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1780386813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY STE 109",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494974",
            "telephone_number": "805-773-3668",
            "fax_number": "805-773-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JAMES WAY STE 109",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934494974",
            "telephone_number": "805-773-3668",
            "fax_number": "805-773-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PODIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CHIEF  EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "805-773-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Podiatry Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Podiatry Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenna Chapin
• Janet Chen, M.D,
• David G. Christensen, M.D.
• Christopher V Lutman MD a California Medical Corporation
• Coastal Podiatry Clinic (Richard J Norman DPM)
• Coastal Psychiatry Care Professional Nursing Corp
• Coastal Surgical Specialists, Inc.
• Coastal Village Primary Care
• Coastal Village Primary Care, a Medical Group
• Coastal Village Primary, Inc

• Podiatrist in Pismo Beach, CA
• Providers in Pismo Beach, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.