Coasterra Anesthesia LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

COASTERRA ANESTHESIA LLC

Practice address

3219 E Camelback Rd Ste 272
Phoenix, AZ 85018-2307

Phone

(602) 429-0404

NPI assigned

Oct 19, 2017

Organization subpart

No

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

Authorized official

Name

Lucinda Mattalino

Title

Manager

Phone

(602) 429-0404

Specialties & licenses 1

Addresses

Practitioners 1

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

• Angelo James Mattalino, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Scottsdale, AZ
  • NPI 1770689671
  NPD

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1851802631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CENTERVILLE ROAD, PMB 655",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD STE 272",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307",
            "telephone_number": "602-429-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTERRA ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "MATTALINO",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-429-0404"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Co, MD
• Coalescence Health Services, LLC
• Mary E Coalson, LPC
• Kathryn Elise Coan, M.D.
• Coastal Laboratories, Inc.
• Jessica Coates, M.A.
• Melissa Susan Coates
• Craig Allen Coats, ATC/L, CA
• Cunthia Coats
• Stacey Leigh Coats, R.N.

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.