Active NPI
Coastal Physicians Medical Group-RPV
- Family Medicine Physician
- Rancho Palos Verdes, CA
National Provider Identifier
1821279183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Coastal Physicians Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Carson, CA
- NPI 1588845978
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.