Coastal Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A12157 Issued in CA

Legal business name

COASTAL PRIMARY CARE

Practice address

18672 Florida St
302-B
Huntington Beach, CA 92648-1925

Phone

(805) 314-5542

Fax

(805) 466-4229

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kazi Rezai, D.O.

Title

Owner

Phone

(805) 314-5542

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADHCCA

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1932653565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18672 FLORIDA ST",
            "address_2": "302-B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481925",
            "telephone_number": "805-314-5542",
            "fax_number": "805-466-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18672 FLORIDA ST",
            "address_2": "302-B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481925",
            "telephone_number": "805-314-5542",
            "fax_number": "805-466-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "REZAI",
        "authorized_official_first_name": "KAZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-314-5542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A12157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1386962686",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.