Coastal Spine and Orthopedics Specialist, Inc

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

COASTAL SPINE AND ORTHOPEDICS SPECIALIST, INC

Practice address

455 Old Newport Blvd
101
Newport Beach, CA 92663-4241

Phone

(949) 933-7012

Fax

(949) 387-3380

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Sonny Rubin, MD

Title

President

Phone

(949) 933-7012

Specialties & licenses 1

Addresses

Tax ID family

Coastal Spine and Orthopedics Specialist Inc2 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.

• Coastal Spine & Orthopedic Associates

  • Specialist
  • Costa Mesa, CA
  • NPI 1093132904
  NPD tax ID

Locations

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1962807347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OLD NEWPORT BLVD",
            "address_2": "101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634241",
            "telephone_number": "949-933-7012",
            "fax_number": "949-387-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OLD NEWPORT BLVD",
            "address_2": "101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634241",
            "telephone_number": "949-933-7012",
            "fax_number": "949-387-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8780 Warner Ave # 6",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927083210",
            "country_code": "US",
            "telephone_number": "949-933-7012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL SPINE AND ORTHOPEDICS SPECIALIST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-933-7012",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Eye Care, a Medical Corporation
• Coastal Kids, a Professional Medical Corporation
• Coastal Minds Counseling Center
• Coastal Psychological Services, Inc.
• Coastal Recovery Health and Wellness, Inc.
• Coastal Vascular Medicine Inc
• Coastline Pediatric Cardiology, P.C.
• Jason Coble, P.T.
• Ashley Coccaro, LMFT
• Rachel Pons Codde, AMFT

• Interventional Pain Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.