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COASTAL HEALTH ALLIANCE NPI 1699956839


NPI Information

NPI: 1699956839
Provider Name: COASTAL HEALTH ALLIANCE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
65 THIRD STREET, SUITE 17
POINT REYES STATION, CA
ZIP 94956
Phone: (415) 663-8781
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COASTAL HEALTH ALLIANCE is a family medicine in Point Reyes Station, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COASTAL HEALTH ALLIANCE NPI is 1699956839. The provider is registered as an organization entity type.

The provider's business location address is:

65 THIRD STREET, SUITE 17
POINT REYES STATION, CA
ZIP 94956-910
Phone: (415) 663-8781
Fax: (415) 663-9630

The provider's authorized official is Rafael Gomez .
The authorized official title is Executive Director and has the following contact phone number (415) 663-8781.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 2/22/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)CALIFORNIANo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EAP70434FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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