COASTAL FAMILY MEDICINE, INC (NPI# 1063820181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063820181 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY MEDICINE, INC |
| Other Organization Name | FAMILY CARE CENTERS MEDICAL GROUP |
| Practice Address |
18785 S Brookhurst St Ste 101 Fountain Valley CA 92708-7300 |
| Mailing Address |
Po Box 3699 Newport Beach CA 92659-8699 |
| Practice Telephone | 7143780042 |
| Practice Fax Number | 7149689129 |
| Mailing Telephone | 6572413600 |
| Mailing Fax Number | 6572417708 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | DR. MARK D SCHAFER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6572413500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RAILROAD | DE5878 | 01 |
| Other Name | Type Code |
|---|---|
| Family Care Centers Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275584120 | Coastal Family Medicine, Inc | Family Medicine | 1190 W Baker St, Suite 100, Costa Mesa, CA 92626-4105 | 2006-05-15 |
| 1619232378 | Coastal Family Medicine, Inc | Family Medicine | 4950 Barranca Pkwy, Suite 103, Irvine, CA 92604-4630 | 2012-07-09 |
| 1639321953 | Coastal Family Medicine, Inc | Internal Medicine | 520 Superior Ave, Suite 205, Newport Beach, CA 92663-3637 | 2008-10-17 |
| 1265618276 | Coastal Family Medicine, Inc | Family Medicine | 26671 Aliso Creek Rd, 101, Aliso Viejo, CA 92656-4809 | 2008-01-21 |
| Street Address |
18785 S BROOKHURST ST STE 101 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-7300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659786 | Valley View Comprehensive Care | Clinic/Center | 17220 Newhope St Ste 125-126, Fountain Valley, CA 92708-4272 | 2019-10-03 |
| 1326149998 | Advantage Medical Center, A Professional Corp | Clinic/Center | 17931 Euclid St, Fountain Valley, CA 92708-5409 | 2006-09-26 |
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| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
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| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on COASTAL FAMILY MEDICINE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.