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COASTAL MESA CORP.
NPI 1104443506
Clinic/Center - Multi-Specialty in Costa Mesa, CA

Active since July 01, 2020
777 W 19TH ST STE J, COSTA MESA, CA 92627(657) 203-2133 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Mesa Corp. NPPES

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

COASTAL MESA CORP. (NPI 1104443506) is a healthcare organization registered as a multi-specialty in Costa Mesa, California and active in the NPI registry since July 2020. The organization lists Alex Sadak, Manager, as its authorized official.

NPPES Registry Identity

NPI1104443506
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOASTAL MESA CORP.
Location Address777 W 19TH ST STE JCosta Mesa, CA 92627-6131
Mailing Address777 W 19th St Ste JCosta Mesa, CA 92627-6131
Phone(657) 203-2133
Organization SubpartNo
Authorized OfficialAlex SadakManager · (657) 203-2133
Enumeration DateJuly 1, 2020
NPPES CertifiedJuly 1, 2020
✔ NPI 1104443506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
777 W 19TH ST STE J, Costa Mesa, CA 92627
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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 Mesa Corp.'s NPI number?

The NPI number for Coastal Mesa Corp. is 1104443506. It was assigned to this organization in the NPPES registry on July 1, 2020.

Where is Coastal Mesa Corp. located?

Coastal Mesa Corp. is located at 777 W 19th St Ste J, Costa Mesa, CA 92627. The listed phone number is (657) 203-2133.

What is Coastal Mesa Corp.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Coastal Mesa Corp. was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.