COASTAL HEALTH ALLIANCE (NPI# 1760584049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760584049 |
| Entity Type | Organization |
| Organization Name | COASTAL HEALTH ALLIANCE |
| Other Organization Name | BOLINAS FAMILY PRACTICE |
| Practice Address |
88 Mesa Rd Bolinas CA 94924-9713 |
| Mailing Address |
Po Box 910 Point Reyes Station CA 94956-0910 |
| Practice Telephone | 4158680124 |
| Practice Fax Number | 4158682152 |
| Mailing Telephone | 4156638787 |
| Mailing Fax Number | 4156639632 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | NANCY MARIE DOMBROWSKI (CONTROLLER) |
| Authorized Official Telephone | 4156638781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
110000397 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03885G | 05 |
| Other Name | Type Code |
|---|---|
| Bolinas Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356732325 | Coastal Health Alliance | Clinic/Center | 503 B Street, Point Reyes Station, CA 94956 | 2015-02-12 |
| 1922499979 | Coastal Health Alliance | Clinic/Center | 451 Mesa Road, Bolinas, CA 94924 | 2015-02-12 |
| 1073904025 | Coastal Health Alliance | Clinic/Center | 6350 Sir Francis Drake Blvd., San Geronimo, CA 94963 | 2015-02-12 |
| 1699956839 | Coastal Health Alliance | Clinic/Center | 65 Third Street, Suite 17, Point Reyes Station, CA 94956-0910 | 2007-11-15 |
| 1255441358 | Coastal Health Alliance | Clinic/Center | 3419 State Route One, Stinson Beach, CA 94970-0978 | 2006-08-30 |
| 1083179360 | Coastal Health Alliance | Clinic/Center | 65 Third Street, Suite 13, Point Reyes Station, CA 94956 | 2019-01-31 |
| 1053420844 | Coastal Health Alliance | Clinic/Center | 3 Sixth Street, Point Reyes Station, CA 94956-0910 | 2006-08-29 |
| Street Address |
88 MESA RD |
| City | BOLINAS |
| State | CA |
| Zip Code | 94924-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639122930 | Wendi S Joiner | Family Medicine | 88 Mesa Rd, Bolinas, CA 94924-9713 | 2006-05-18 |
| 1841557337 | Alexis Richardson | Acupuncturist | 88 Mesa Rd, Bolinas, CA 94924 | 2012-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942843669 | Camilla Anne Ford | Marriage & Family Therapist | 90 Horseshoe Hill Road, Bolinas, CA 94924 | 2019-10-25 |
| 1306497730 | Liliya Danilyan | Acupuncturist | 7 Wharf Rd, Bolinas, CA 94924 | 2019-09-26 |
| 1922499979 | Coastal Health Alliance | Clinic/Center | 451 Mesa Road, Bolinas, CA 94924 | 2015-02-12 |
| 1194160341 | Miguel Ismael Bustamante | Dentist | 24 Wharf Road, Bolinas, CA 94924 | 2013-05-01 |
| 1932443371 | Annemarie Christine Russo | Midwife | 14 Canyon Rd, Bolinas, CA 94924 | 2012-11-26 |
| 1568798379 | Rachel Naomi Remen | Family Medicine | 450 Big Mesa Rd, Bolinas, CA 94924 | 2009-10-29 |
| 1669510525 | Dale J Johnson | Nurse Practitioner | 7 Wharf Road, Bolinas Family Practice, Bolinas, CA 94924 | 2007-02-02 |
| 1477605764 | Bryan Ivan Barientos | Dentist | 79 Wharf Rd, Bolinas, CA 94924 | 2007-01-17 |
| 1548328842 | Gary Rosenblatt | Psychologist | 97 Brighton Ave., Bolinas, CA 94924-0100 | 2006-12-05 |
| 1902921273 | Patricia Anne Bradford | Nurse Practitioner | 88 Mesa Rd., Bolinas, CA 94924-1038 | 2007-03-19 |
| Find all providers in zip 94924 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922499979 | Coastal Health Alliance | Clinic/Center | 451 Mesa Road, Bolinas, CA 94924 | 2015-02-12 |
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| Find all providers with the same taxonomy | ||||
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| 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.