Organization Active NPI

Coast Psychiatric Associates

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1962625590
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COAST PSYCHIATRIC ASSOCIATES
Practice address
1650 Ximeno Ave Ste 230
Long Beach, CA 90804-2185
Phone
(562) 494-3633
Fax
(562) 498-0917
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald T Silverstein, M.D.NPI 1528146834
Title
President
Phone
(562) 494-3633

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

1650 Ximeno Ave Ste 230
Long Beach, CA 90804-2185

Mailing address

1650 Ximeno Ave Ste 230
Long Beach, CA 90804-2185
Phone (562) 494-3633

Other identifiers 1

IdentifierTypeStateIssuer
GR0000820MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101209000246 CA Part B Supplier - Clinic/Group Practice 3375730815 Receives reassigned benefits from 3 practitioners
Practice locations: Long Beach, CA

National Provider Directory

National Provider Directory

Locations

1650 Ximeno Ave
Ste 230
Long Beach, CA 90804
Phone (562) 494-3633

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962625590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 XIMENO AVE STE 230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042185",
            "telephone_number": "562-494-3633",
            "fax_number": "562-498-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 XIMENO AVE STE 230",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042185",
            "telephone_number": "562-494-3633",
            "fax_number": "562-498-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST PSYCHIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILVERSTEIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-494-3633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0000820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.