Coastal Family Medicine Inc in Irvine - Physician Assistant

Coastal Family Medicine Inc - NPI 1356392278

Coastal Family Medicine Inc is a Physician Assistant in Irvine, California. Coastal Family Medicine Inc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Coastal Family Medicine Inc is 1356392278. The last update date is 2023-06-26.

Coastal Family Medicine Inc's current location address is 4950 Barranca Pkwy Ste 104, Irvine, California. You can contact this provider via phone number 9498571248 and fax number 9495591165. The mailing address for Coastal Family Medicine Inc is 4950 Barranca Pkwy Ste 104, Irvine, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastal Family Medicine Inc
Address 4950 Barranca Pkwy Ste 104, Irvine, California
Phone Number 9498571248
Fax Number 9495591165
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AUTHORIZED
Authorized Official Name Schafer D Mark
Credentials MD
Telephone Number 6572413500

NPI Number Detail

NPI Number 1356392278
Provider Enumeration Date 2006-05-15
Last Updated Date 2023-06-26

Provider Mailing Address Detail

Address 4950 Barranca Pkwy Ste 104
City Irvine
State California (CA)
Post Code 9260486440
Phone Number 9498571248
Fax Number 9495591165

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DE5878 CA MEDICARE RAILROAD PTAN

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FAQs about Coastal Family Medicine Inc

What is the unique 10-digit identification code assigned to Coastal Family Medicine Inc by the Centers for Medicare & Medicaid Services?

The Coastal Family Medicine Inc has been issued the NPI (National Provider Identifier) 1356392278, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Coastal Family Medicine Inc is physically located?

The Coastal Family Medicine Inc is physically situated at the following address: 4950 Barranca Pkwy Ste 104, Irvine, CA, 9260486440.

What is Coastal Family Medicine Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Coastal Family Medicine Inc is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Coastal Family Medicine Inc receive its 1356392278 assignment from the Centers for Medicare & Medicaid Services?

The Coastal Family Medicine Inc was assigned its 1356392278 by the Centers for Medicare & Medicaid Services on 2006-05-15.

As of what date was the information pertaining to Coastal Family Medicine Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Coastal Family Medicine Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-26.

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