Coastal Pediatrics Medical Group
Pediatric Adolescent Medicine
Coastal Pediatrics Medical Group is a Oxnard, California based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
451 W Gonzales Rd, Ste 340, Oxnard, California - 93036-9004. They can be contacted on phone at
805-983-3900 and fax number 805-983-3887.
NPI number (Unique professional ID) for Coastal Pediatrics Medical Group is
1528193109 which was assigned by NPPES on 22 Feb, 2007 and it was last updated on 22 Aug, 2020.
Coastal Pediatrics Medical Group specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Coastal Pediatrics Medical Group basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Coastal Pediatrics Medical Group |
|---|
Business Address:
Coastal Pediatrics Medical Group address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 451 W Gonzales Rd, Ste 340
Oxnard, CA, 93036-9004
United States |
|---|
| Phone Number : | 805-983-3900 |
|---|
| Fax Number : | 805-983-3887 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1528193109 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 22 Feb, 2007 |
|---|
| Last Updated On : | 22 Aug, 2020 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lori Bohannan |
|---|
| Official Title or Position : | PRACTICE MANAGER |
|---|
| Phone Number : | 805-983-3900 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coastal Pediatrics Medical Group are as mentioned. Primary taxonomy code for Coastal Pediatrics Medical Group is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Coastal Pediatrics Medical Group such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ZZZ76023Z | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 451 W Gonzales Rd, Ste 340
Oxnard, CA, 93036-9004
United States |
|---|
| Phone Number : | 805-983-3900 |
|---|
| Fax Number : | 805-983-3887 |
|---|
Business Location:
Patients can refer following map for directions to
Coastal Pediatrics Medical Group practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.