Coastal Diabetes Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

COASTAL DIABETES CENTER LLC

Practice address

486 Constitution Ave
Camarillo, CA 93012-8529

Phone

(949) 266-4103

NPI assigned

Sep 30, 2025

Organization subpart

No

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

Authorized official

Name

Cassidy Robinson, BSN-RN, CDCESNPI 1033081997

Title

Owner Operator

Phone

(949) 266-4103

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Cassidy Jaye Robinson, BSN-RN, CDCES

  • Diabetes Educator Registered Nurse
  • Camarillo, CA
  • NPI 1033081997
  NPD Authorized official

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1841164167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 CONSTITUTION AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128529",
            "telephone_number": "949-266-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 CONSTITUTION AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128529",
            "telephone_number": "949-266-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DIABETES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "949-266-4103",
        "authorized_official_credential": "BSN-RN, CDCES"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Meredith Clevette, OTR/L
• Dawn Clift
• Nancy Cline
• Clinicas del Camino Real Inc
• Coastal Allergy Care Inc
• Coastal Foot Care Services, Inc
• Coastal Orthopedic & Spine Institute
• Coastal Wellness MC
• Susan Elizabeth Cobb, LMFT
• Madison Cody

• Medical Specialty Clinic/Center in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.