Organization Active NPI

Coastal Physicians Medical Group-RPV

  • Family Medicine Physician
  • Rancho Palos Verdes, CA
National Provider Identifier
1821279183
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COASTAL PHYSICIANS MEDICAL GROUP-RPV
Practice address
29409 S Western Ave
Rancho Palos Verdes, CA 90275-1124
Phone
(310) 832-4225
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Luis G. Magdalneo, MD
Title
Ceo
Phone
(310) 832-4225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

29409 S Western Ave
Rancho Palos Verdes, CA 90275-1124

Mailing address

29409 S Western Ave
Rancho Palos Verdes, CA 90275-1124
Phone (310) 832-4225

Other names 1

  • Coastal Physicians Medical Group - RPV Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Coastal Physicians Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

29409 S Western Ave
Rancho Palos Verdes, CA 90275
Phone (310) 784-6848

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1821279183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29409 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751124",
            "telephone_number": "310-832-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29409 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751124",
            "telephone_number": "310-832-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHYSICIANS MEDICAL GROUP-RPV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "MAGDALNEO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-832-4225",
        "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": [
        {
            "organization_name": "Coastal Physicians Medical Group - RPV",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.