Coastal Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COASTAL SURGERY CENTER LLC

Practice address

550 Saint Charles Dr Ste 101
Thousand Oaks, CA 91360-3971

Phone

(805) 322-1513

NPI assigned

Oct 24, 2026

Last updated

Oct 24, 2026By 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. Candice Brady, DO

Title

Ceo

Phone

(313) 580-5495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792800000000",
    "number": "1811894595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMARILLO RANCH RD STE 101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125901",
            "telephone_number": "805-322-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SAINT CHARLES DR STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603971",
            "telephone_number": "805-322-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-24",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-580-5495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Coastal Restorative Physical Therapy, PC
• Lynn Coates-Leisen, MSN, APRN, FNP-C
• William Madison Coburn Jr., M.D.
• Jayashree S Coca, M.D.
• Robert Coffey, M.D.
• Shariar Cohen-Gadol, M.D.

• Ambulatory Surgical Clinic/Center in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Oct 24, 2026; 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.