Coastline Surgery Center Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COASTLINE SURGERY CENTER INC.

Practice address

3200 S Bristol St
Santa Ana, CA 92704-6711

Phone

(714) 641-1111

Fax

(714) 641-0611

NPI assigned

Aug 4, 2009

Last updated

May 25, 2010By 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. Atef E Rafla, M.D.NPI 1497796858

Title

Medical Director

Phone

(714) 655-1911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790916096. Details of each certification follow.

• CCN 050834 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 050834

Legal name

COASTLINE SURGERY CENTER

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Dec 7, 2020

Last certification

Dec 7, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

3200 South Bristol Street
Santa Ana, CA 92704

Listed as

Coastline Surgery CenterCCN 05C0002046

Medicare certification status

ActiveFrom the Provider of Services file

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 3

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.

• Atef E Rafla, M.D.

  • Anesthesiology Physician
  • Santa Ana, CA
  • NPI 1497796858
  NPD Authorized official
• Faiz Ur Rahman, D.O.

  • Orthopaedic Surgery Physician
  • Santa Ana, CA
  • NPI 1316252109
  NPD
• Hamid U Rahman, MD

  • Orthopaedic Surgery Physician
  • Santa Ana, CA
  • NPI 1235199514
  NPD (past)

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1790916096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046711",
            "telephone_number": "714-641-1111",
            "fax_number": "714-641-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046711",
            "telephone_number": "714-641-1111",
            "fax_number": "714-641-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE SURGERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "RAFLA",
        "authorized_official_first_name": "ATEF",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-655-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast2Coast DX
• Coastal Communities Hospital
• Coastal Emergency Physicians a Medical Corporation
• Coastal Heart, Inc (Coastal Heart Medical Group)
• Coastal Radiology
• Kelly Gene Coburn, LMFT
• Colleen Cochran, BCBA
• Aidan Cockerill
• Ashley Noelle Cocking
• Natalie P Cocoziello, APRN-FNP

• Ambulatory Surgical Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.