Coastal Vascular Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

A40288 Issued in CA

Legal business name

COASTAL VASCULAR CENTER PC

Practice address

2841 N Ventura Rd Ste 200
Oxnard, CA 93036-2213

Phone

(805) 983-6233

Fax

(805) 983-2459

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Gregory K Albaugh, D.O.NPI 1811936982

Title

President

Phone

(805) 983-6233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Coastal Vascular Center Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16599/brand/4/csg/1/fhir/r4

Practitioners 6

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

• Gregory K Albaugh, D.O.

  • Vascular Surgery Physician
  • Oxnard, CA
  • NPI 1811936982
  Medicare reassignment Care Compare group Authorized official
• John Tyler Baber Jr., M.D.

  • Vascular Surgery Physician
  • Oxnard, CA
  • NPI 1750607453
  Medicare reassignment Care Compare group NPD
• Heather Elizabeth Matheny, MD

  • Vascular Surgery Physician
  • Oxnard, CA
  • NPI 1912403809
  Medicare reassignment Care Compare group NPD
• Karen Kim Quirk, MD

  • Vascular Surgery Physician
  • Oxnard, CA
  • NPI 1639363138
  Medicare reassignment Care Compare group NPD
• Kevin M Major, M.D.

  • Vascular Surgery Physician
  • Oxnard, CA
  • NPI 1457383366
  Medicare reassignment NPD
• Melissa Martinez

  • Physician Assistant
  • Oxnard, CA
  • NPI 1528922085
  Medicare reassignment NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1821031675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 OUTLET CENTER DRIVE",
            "address_2": "SUITE 230",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930366073",
            "telephone_number": "805-983-6233",
            "fax_number": "805-983-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 N VENTURA RD STE 200",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362213",
            "telephone_number": "805-983-6233",
            "fax_number": "805-983-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL VASCULAR CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ALBAUGH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-983-6233",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "W14567",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Vascular Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Vascular Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Health Care, a Medical Corporation
• Coastal Occupational Medical Group, Inc
• Coastal Pediatrics Medical Group
• Coastal Pharmaceutica Services Corp
• Coastal Valley Communication Therapy Inc.
• Bianca Angelica Cobarruvias, MA, LMFT
• Cobbles Dialysis LLC
• Yadira Y Cobian
• Angelica Michele Coburn
• Tia M Cochran-Otis, LCSW

• Specialist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.