Coastal Physicians Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COASTAL PHYSICIANS MEDICAL GROUP, INC.

Practice address

3500 W Lomita Blvd
Number 203
Torrance, CA 90505

Phone

(310) 534-8164

Fax

(310) 534-4267

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Luis G Magdeleno, MD

Title

Ceo

Phone

(310) 832-4221

Specialties & licenses 1

Addresses

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)…

Practitioners 2

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

• Melanie T. Dee, M.D.

  • Family Medicine Physician
  • Rancho Palos Verdes, CA
  • NPI 1487704060
  NPD (past)
• Gene Victor Sherman, MD

  • Hematology & Oncology Physician
  • El Segundo, CA
  • NPI 1073576310
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1801964598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W LOMITA BLVD",
            "address_2": "NUMBER 203",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-534-8164",
            "fax_number": "310-534-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W LOMITA BLVD",
            "address_2": "NUMBER 203",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-534-8164",
            "fax_number": "310-534-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICIANS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "MAGDELENO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-832-4221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Care Inc (Accessible Home Health Care of the L. A. Coast)
• Coastal Care Inc. (Accessible Health Care of The L A Coast)
• Coastal Home Healthcare LLC
• Coastal Medical Corporation
• Coastal Perinatal Center Inc (Coastal Perinatal Center)
• Coastal View Gastroenterology of South Bay
• Coastal View Gastroenterology of South Bay Inc
• Coastal View Gastroenterology, Inc
• Coastal Vision Center a Professional Optometry Corporation
• Kori Anne Coates

• Family Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.