COASTAL COMPREHENSIVE CARE MEDICAL CENTER INC (NPI# 1073603924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073603924 |
| Entity Type | Organization |
| Organization Name | COASTAL COMPREHENSIVE CARE MEDICAL CENTER INC |
| Practice Address |
25226 Cabot Rd Laguna Hills CA 92630 |
| Practice Telephone | 9497070005 |
| Practice Fax Number | 9497075371 |
| Mailing Telephone | 9497070005 |
| Mailing Fax Number | 9497075371 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL FINN CASSEDY (MEDICAL DIRECTOR MD) |
| Authorized Official Telephone | 9497070005 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
25226 CABOT RD |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790122638 | Jim Cheng | Physician Assistant | 25226 Cabot Rd, Laguna Hills, CA 92653-5504 | 2013-06-02 |
| 1417159948 | Paul Finn Cassedy | Internal Medicine | 25226 Cabot Rd, Laguna Hills, CA 92653-5504 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558691451 | Mozhgan Ashtari | Internal Medicine | 23141 Moulton Pkwy 202, Laguna Hills, CA 92653-1241 | 2009-12-28 |
| 1790951606 | Joao Daniel Trindade Fontes | Internal Medicine | 24022 Calle De La Plata Ste 500, Laguna Hills, CA 92653-7612 | 2008-05-01 |
| 1003941246 | Ralph Lowell Cummings | Internal Medicine | 24953 Paseo De Valencia Ste 15c, Laguna Hills, CA 92653-4344 | 2007-02-21 |
| 1922175413 | Hadi Mansoury | Internal Medicine | 24411 Health Center Dr Ste 620, Laguna Hills, CA 92653-3672 | 2006-11-29 |
| 1629165683 | Richard Howard Greengold, M.d., Inc. | Internal Medicine | 24953 Paseo De Valencia Ste 15b, Laguna Hills, CA 92653-4339 | 2006-10-09 |
| 1043306673 | Teneese Nguyen | Internal Medicine | 23141 Verdugo Dr, Ste 201, Laguna Hills, CA 92653-1341 | 2006-10-04 |
| 1255346797 | Reza Govashiri | Internal Medicine | 24421 Calle De La Louisa Ste 200, Laguna Hills, CA 92653-7609 | 2006-07-31 |
| 1497760219 | Bijan Movafegh-jooryabi | Internal Medicine | 22921 Triton Way Ste 125, Laguna Hills, CA 92653-1236 | 2006-07-30 |
| 1205869427 | Marwan Edris Md A Professional Corporation | Internal Medicine | 25283 Cabot Rd Ste 106, Suite 106, Laguna Hills, CA 92653-5509 | 2006-07-09 |
| 1588690994 | Ali Reza Ghahraman | Internal Medicine | 24881 Alicia Pkwy Ste N, Laguna Hills, CA 92653-4617 | 2006-06-25 |
| Find all providers in LAGUNA HILLS | ||||
| City | LAGUNA HILLS |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on COASTAL COMPREHENSIVE CARE MEDICAL CENTER 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.