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COASTAL VASCULAR MEDICINE INC
NPI 1104234194
Clinic/Center in Newport Beach, CA

Active since July 23, 2014
320 SUPERIOR AVE STE 250, NEWPORT BEACH, CA 92663(949) 631-6002(949) 631-6982 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 20, 2025, Jun 7, 2021 (2 updates tracked since 2021).

About Coastal Vascular Medicine Inc NPPES

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

COASTAL VASCULAR MEDICINE INC (NPI 1104234194) is a healthcare organization registered as a clinic/center in Newport Beach, California and active in the NPI registry since July 2014. The organization lists Ehab Nabil Hanna Mady, Owner, as its authorized official.

NPPES Registry Identity

NPI1104234194
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOASTAL VASCULAR MEDICINE INC
Location Address320 SUPERIOR AVE STE 250Newport Beach, CA 92663-2778
Mailing Address320 Superior Ave Ste 250Newport Beach, CA 92663-2778 · (949) 631-6002 · Fax (949) 631-6982
Phone(949) 631-6002
Fax(949) 631-6982
Organization SubpartNo
Authorized OfficialEhab Nabil Hanna MadyOwner · (949) 631-6002
Enumeration DateJuly 23, 2014
Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
✔ NPI 1104234194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedSpecialistTaxonomy 174400000X
Also ListedInternal MedicineTaxonomy 207R00000X · License 10166 (CA)
320 SUPERIOR AVE STE 250, Newport Beach, CA 92663
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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

Other Providers at the Same Location NPPES 3

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

EMANUEL SHAOULIAN M.D.
Internal Medicine (Cardiovascular Disease)
320 SUPERIOR AVE STE 250
NEWPORT BEACH, CA 92663
Orange County (949) 631-6144
DR. EHAB NABIL HANNA MADY D.O.
Specialist
320 SUPERIOR AVE STE 250
NEWPORT BEACH, CA 92663
Orange County (949) 631-6002
SHAOULIAN CARDIOLOGY INC.
Internal Medicine (Cardiovascular Disease)
320 SUPERIOR AVE STE 250
NEWPORT BEACH, CA 92663
Orange County (949) 631-6144

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 Vascular Medicine Inc's NPI number?

The NPI number for Coastal Vascular Medicine Inc is 1104234194. It was assigned to this organization in the NPPES registry on July 23, 2014.

Where is Coastal Vascular Medicine Inc located?

Coastal Vascular Medicine Inc is located at 320 Superior Ave Ste 250, Newport Beach, CA 92663. The listed phone number is (949) 631-6002.

What is Coastal Vascular Medicine Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Coastal Vascular Medicine Inc was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.