COASTAL SKIN AND EYE INSTITUTE, INC.
NPI 1083273684
Ophthalmology in Encinitas, CA

Active since June 07, 2019CLIA 05D2139861 · Certificate of Compliance
477 N EL CAMINO REAL STE C300, ENCINITAS, CA 92024(760) 257-5550(858) 252-2053 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Jan 18, 2021, Jun 7, 2019 (3 updates tracked since 2019).

About Coastal Skin And Eye Institute, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL SKIN AND EYE INSTITUTE, INC. (NPI 1083273684) is a healthcare organization registered as an ophthalmology in Encinitas, California and active in the NPI registry since June 2019. The organization holds a CLIA Certificate of Compliance certificate valid through August 19, 2026, maintains a secondary practice location in Encinitas, and lists Jeannene Graham, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1083273684
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCOASTAL SKIN AND EYE INSTITUTE, INC.
Location Address477 N EL CAMINO REAL STE C300Encinitas, CA 92024-1356
Mailing Address5550 Carmel Mountain Rd Ste 206San Diego, CA 92130-4861 · (858) 943-2540 · Fax (858) 252-2053
Fax(858) 252-2053
Organization SubpartYesParent: Coastal Skin & Eye Institute, Inc.
Authorized OfficialJeannene GrahamPractice Manager · (858) 943-2540
Enumeration DateJune 7, 2019
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
NPI 1083273684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedDermatologyTaxonomy 207N00000X
477 N EL CAMINO REAL STE C300, Encinitas, CA 92024

Secondary Practice Location 1

Location 1489 Saxony Pl Ste 101Encinitas, CA 92024-2875 · Phone (760) 257-5550 · Fax (858) 252-2053

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2139861

Coastal Skin And Eye Institute · San Diego, CA
Active · expires Aug 19, 2026
CLIA Number05D2139861
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2024
Certificate Expiration DateAugust 19, 2026
Laboratory DirectorDr. Christopher V. Crosby
Laboratory Phone(858) 943-2540
Laboratory LocationCoastal Skin And Eye Institute5550 Carmel Mountain Rd, Ste 206, San Diego, CA 92130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
477 N EL CAMINO REAL STE C300
ENCINITAS, CA 92024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Skin And Eye Institute, Inc.'s NPI number?

The NPI number for Coastal Skin And Eye Institute, Inc. is 1083273684. It was assigned to this organization in the NPPES registry on June 7, 2019.

Where is Coastal Skin And Eye Institute, Inc. located?

Coastal Skin And Eye Institute, Inc. is located at 477 N El Camino Real Ste C300, Encinitas, CA 92024. The listed phone number is (760) 257-5550.

What is Coastal Skin And Eye Institute, Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Coastal Skin And Eye Institute, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2139861) is associated with this NPI, valid through August 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Skin And Eye Institute, Inc. was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.