NPIMap

Organization Active NPI

Well Coast Medical Corporation

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1881245231
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WELL COAST MEDICAL CORPORATION
Practice address
582 Market St Ste 1608
San Francisco, CA 94104-5317
Phone
(833) 931-1716
Fax
(866) 519-5427
NPI assigned
Sep 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Michelle Guchereau, MDNPI 1750508198
Title
Ceo
Phone
(833) 931-1716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

582 Market St Ste 1608
San Francisco, CA 94104-5317

Mailing address

582 Market St Ste 1608
San Francisco, CA 94104-5317
Phone (833) 931-1716

Other practice location 1

200 Tamal Plz Ste 235
Corte Madera, CA 94925-1070
Phone (833) 931-1716

Other practice location 2

1020 SW Taylor St Ste 560
Portland, OR 97205-2533
Phone (833) 931-1716

Other practice location 3

6080 Center Dr Fl 6
Los Angeles, CA 90045-9209
Phone (833) 931-1716

Other practice location 4

4295 Gesner St Ste 2E
San Diego, CA 92117-6660
Phone (833) 931-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200428002062 CA Part B Supplier - Clinic/Group Practice 4587094826 Receives reassigned benefits from 14 practitioners
Practice locations: Los Angeles, CA; San Diego, CA; San Francisco, CA
O20200714002259 OR Part B Supplier - Clinic/Group Practice 4587094826 Receives reassigned benefits from 6 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4295 Gesner St
Ste 2E
San Diego, CA 92117
Phone (619) 276-9271

1500 SW Chandler Ave
Bend, OR 97702
Phone (415) 521-1506

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1881245231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Tamal Plz Ste 235",
            "address_purpose": "LOCATION",
            "city": "Corte Madera",
            "state": "CA",
            "postal_code": "949251070",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 SW Taylor St Ste 560",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972052533",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6080 Center Dr Fl 6",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900459209",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4295 Gesner St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176660",
            "country_code": "US",
            "telephone_number": "833-931-1716",
            "fax_number": "866-519-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELL COAST MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "GUCHEREAU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-931-1716",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.