COASTAL PAIN & SPINAL DIAGNOSTICS MEDICAL GROUP, INC. (NPI# 1710044029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710044029 |
| Entity Type | Organization |
| Organization Name | COASTAL PAIN & SPINAL DIAGNOSTICS MEDICAL GROUP, INC. |
| Other Organization Name | NATHAN MILLER MD INC |
| Practice Address |
6221 Metropolitan St Suite 201 Carlsbad CA 92009-3096 |
| Practice Telephone | 7607537127 |
| Practice Fax Number | 7606070282 |
| Mailing Telephone | 7607537127 |
| Mailing Fax Number | 7606070282 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-05-04 |
| Authorized Official Name | NATHAN A MILLER (PRESIDENT MD) |
| Authorized Official Telephone | 7607537127 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Nathan Miller MD Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487994547 | Coastal Pain & Spinal Diagnostics Medical Group, Inc. | Clinic/Center | 4910 Directors Pl, Suite 330, San Diego, CA 92121-3811 | 2013-02-26 |
| Street Address |
6221 METROPOLITAN ST SUITE 201 |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92009-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565081 | Alan Gene Shelhamer | Dentist | 6221 Metropolitan St, Suite #103, Carlsbad, CA 92009-3096 | 2005-08-15 |
| 1669025797 | Michael Chan | Dentist | 6221 Metropolitan St, Carlsbad, CA 92009-3096 | 2019-07-17 |
| 1548708605 | Diane Mary Solic | Nurse Practitioner | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 | 2017-02-08 |
| 1972934776 | Marjorie Lloyd | Physical Therapist | 6221 Metropolitan St, Suite 101, Carlsbad, CA 92009-3096 | 2013-12-03 |
| 1063799229 | Kristin Timbers Anderson | Physical Therapist | 6221 Metropolitan St, #101, Carlsbad, CA 92009-3096 | 2011-11-15 |
| 1699056697 | Terri Lee Edwards | Physician Assistant | 6221 Metropolitan St, Suite 201, Carlsbad, CA 92009-3096 | 2011-09-02 |
| 1033498332 | Gina Marie Giron | Physician Assistant | 6221 Metropolitan St, Carlsbad, CA 92009-3096 | 2011-08-04 |
| 1679874358 | Cyrous Sheikh, Dds, Ms, Inc | Dentist | 6221 Metropolitan St, Suite 202, Carlsbad, CA 92009-3096 | 2010-11-10 |
| 1700186079 | Reagan Plastic Surgery Apc | Specialist | 6221 Metropolitan St, #100, Carlsbad, CA 92009-3096 | 2010-11-02 |
| 1326354010 | Christopher N. Spellman, M.d., Inc. | Ophthalmology | 6221 Metropolitan St, Suite 200, Carlsbad, CA 92009-3096 | 2010-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821602798 | Aberdeen Physical Therapy Inc | Physical Therapist | 3218 Clalle Vallarta, Carlsbad, CA 92009 | 2020-09-08 |
| 1952949851 | Sandrelyn Chua | Registered Nurse | 3421 Calle Del Sur, Carlsbad, CA 92009 | 2019-12-11 |
| 1467938647 | Outshine Speech Therapy | Speech-Language Pathologist | 2647 Gateway Road Suit # 105, Carlsbad, CA 92009 | 2018-07-11 |
| 1154855906 | Tamara Chatfield | Marriage & Family Therapist | 2647 Gateway Rd., Ste. 105 #521, Carlsbad, CA 92009 | 2017-04-19 |
| 1548792039 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 830 N. Mariposa Ave, Los Angeles, CA 92009 | 2017-04-03 |
| 1649722380 | Dom Dop Van Nguyen | Pharmacist | 7440 Rancho Santa Fe Rd, Carlsbad, CA 92009 | 2016-10-28 |
| 1932575354 | Shabnam Moeini-ferdosi | Speech-Language Pathologist | 2684 Bressi Ranch Way, Carlsbad, CA 92009 | 2015-08-19 |
| 1073900858 | Thanh Luu and Tina Saw Dental Corp | Dentist | 7720 Rancho Santa Fe Road, Suite E, Carlsbad, CA 92009 | 2015-04-20 |
| 1922445873 | Harmony Hollywood, LLC | Substance Abuse Rehabilitation Facility | 832 N. Mariposa Ave, Los Angeles, CA 92009 | 2013-06-02 |
| 1982945457 | Carin Beth Hauptman | Speech-Language Pathologist | 2148 Avenida Toronja, Carlsbad, CA 92009 | 2013-03-08 |
| Find all providers in zip 92009 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345668 | Marin Regenerative Health | Clinic/Center | 1744 Novato Blvd Ste 100, Novato, CA 94947-3092 | 2020-07-31 |
| 1689219594 | Koda Therapy Group | Clinic/Center | 2421 Park Blvd Ste B205, Palo Alto, CA 94306-1998 | 2019-11-14 |
| 1184278293 | Acu Therapy Pain Clinic, Inc | Clinic/Center | 1840 Westwood Blvd, Los Angeles, CA 90025-4612 | 2019-07-26 |
| 1851944110 | Onyx Pain Management Medical Corporation | Clinic/Center | 1250 S Sunset Ave Ste 206, West Covina, CA 91790-3962 | 2019-07-16 |
| 1063078293 | Regenerative Health and Wellness Institute | Clinic/Center | 4207 Del Rey Ave, Marina Del Rey, CA 90292-5605 | 2019-05-14 |
| 1740843374 | Green Creek Acupuncture,inc | Clinic/Center | 20735 Stevens Creek Blvd Ste D, Cupertino, CA 95014-2104 | 2019-04-18 |
| 1013478130 | Advanced Pain Medical Group, Inc. | Clinic/Center | 655 W Avenue Q Ste B, Palmdale, CA 93551-3894 | 2019-03-29 |
| 1609350669 | Edgar Celis Md Inc | Clinic/Center | 1050 Northgate Dr Ste 460, San Rafael, CA 94903-2542 | 2018-09-17 |
| 1356848915 | Ensele Enterprises Consulting Inc | Clinic/Center | 5030 Parkway Calabasas, Calabasas, CA 91302-1422 | 2018-04-10 |
| 1730691973 | Ageless Acupuncture Health Center | Clinic/Center | 46923 Warm Springs Blvd Ste 206, Fremont, CA 94539-7977 | 2017-10-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COASTAL PAIN & SPINAL DIAGNOSTICS MEDICAL GROUP, 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.