Organization Active NPI

Coastal Cardiovascular Institute, Inc.

  • Interventional Cardiology Physician
  • Laguna Hills, CA
National Provider Identifier
1982005195
Registry record updated Sep 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A62602 Issued in CA
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

Updated by the provider on Sep 7, 2014

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.NPI 1871564948
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)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.