Active NPI
Coastal Cardiovascular Institute, Inc.
- Interventional Cardiology Physician
- Laguna Hills, CA
National Provider Identifier
1982005195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A62602
- Legal business name
- COASTAL CARDIOVASCULAR INSTITUTE, INC.
- Practice address
- 25301 Cabot Rd Ste 104
Laguna Hills, CA 92653-5511 - Phone
- (949) 499-8080
- Fax
- (949) 499-8082
- NPI assigned
- Sep 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Douglas Moran, M.D.
- Title
- President and Ceo
- Phone
- (949) 499-8080
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | A62602 | CA | Primary |
Addresses
Primary practice location
25301 Cabot Rd Ste 104
Laguna Hills, CA 92653-5511
Mailing address
25301 Cabot Rd Ste 104
Laguna Hills, CA 92653-5511
Phone (949) 499-8080
National Provider Directory
National Provider DirectoryLocations
25301 Cabot Rd
Ste 104
Laguna Hills, CA 92653
Phone (949) 297-8167
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Laguna Niguel, CA
- NPI 1871564948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410048000000",
"number": "1982005195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25301 CABOT RD STE 104",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535511",
"telephone_number": "949-499-8080",
"fax_number": "949-499-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25301 CABOT RD STE 104",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535511",
"telephone_number": "949-499-8080",
"fax_number": "949-499-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL CARDIOVASCULAR INSTITUTE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-07",
"last_updated": "2014-09-07",
"status": "A",
"authorized_official_last_name": "MORAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "949-499-8080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A62602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
- Susan Clarke, L.M.F.T.
- Bianca Clary
- Clayton Thomas Nole D.C.,Chiropractic Corporation
- Sabrina Clemons
- Jodi Cline, LMFT
- Coastal Comprehensive Care Medical Center Inc
- Coastal Counseling, Individual, Marriage and Family Therapy, Prof. Corp.
- Coastal Sage Wellness
- Coastline Healthcare Solutions, Inc.
- Cobo Surgical Medical Associates,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.