Organization Active NPI

Coastline Therapies

  • Speech-Language Pathologist
  • Huntington Beach, CA
National Provider Identifier
1891064713
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP9675 Issued in CA
Legal business name
COASTLINE THERAPIES
Practice address
7400 Center Ave
Suite 104
Huntington Beach, CA 92647-3094
Phone
(714) 292-2322
Fax
(714) 866-4153
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Mrs. Karen Vescial, MS CCC/SLP
Title
Speech Therapist
Phone
(714) 292-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP9675 CA Primary

Addresses

Primary practice location

7400 Center Ave
Suite 104
Huntington Beach, CA 92647-3094

Mailing address

7400 Center Ave
Suite 104
Huntington Beach, CA 92647-3094
Phone (714) 292-2322

National Provider Directory

National Provider Directory
Tax ID family
Coastline Therapies2 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

7400 Center Ave
Ste 104
Huntington Beach, CA 92647
Phone (714) 292-2322

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1891064713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 CENTER AVE",
            "address_2": "SUITE 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473094",
            "telephone_number": "714-292-2322",
            "fax_number": "714-866-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 CENTER AVE",
            "address_2": "SUITE 104",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473094",
            "telephone_number": "714-292-2322",
            "fax_number": "714-866-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "VESCIAL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "714-292-2322",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP9675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.