COASTAL WELLNESS CLINIC APC NPI 1710718069

NPI Information

  • NPI: 1710718069
  • Provider Name: COASTAL WELLNESS CLINIC APC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2373 JEFFERSON ST
    CARLSBAD, CA
    ZIP 92008
  • Phone: (619) 782-0011

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NPI Details

COASTAL WELLNESS CLINIC APC is a general practice in Carlsbad, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee COASTAL WELLNESS CLINIC APC NPI is 1710718069. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2373 JEFFERSON ST
CARLSBAD, CA
ZIP 92008-405
Phone: (619) 782-0011

The provider's authorized official is Jonathon Wheaton .
The authorized official title is Administrative Officer and has the following contact phone number (619) 782-0011.

The enumeration date for this NPI number is 8/9/2024 and was last updated on 8/9/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
21041C0700XSocial WorkerClinicalNo
3106H00000XMarriage & Family TherapistNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5208D00000XGeneral PracticeYes

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: 11/21/2025

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