COASTAL VISION MEDICAL GROUP
NPI 1124131065
Specialist in Long Beach, CA
NPI Status: Active since August 16, 2006
Contact Information
4300 LONG BEACH BLVD STE 400
LONG BEACH, CA
ZIP 90807
Phone: (562) 591-7700
Fax: (562) 591-1311
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 05D2070192
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-09-2025
About COASTAL VISION MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Coastal Vision Medical Group, a provider established in Long Beach, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1124131065 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number G83738 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Coastal Vision Medical Group. The authorized official of this NPI record is Michele M Stepp (Credentialing)
- NPI
- 1124131065
- Provider Legal Name
- DAN B TRAN MEDICAL CORPORATION
- Other Organization Name
- COASTAL VISION MEDICAL GROUP
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4300 LONG BEACH BLVD STE 400 LONG BEACH, CA 90807
- Location Phone
- (562) 591-7700
- Location Fax
- (562) 591-1311
- Mailing Address
- 4300 LONG BEACH BLVD STE 400 LONG BEACH, CA 90807
- Mailing Phone
- (562) 591-7700
- Mailing Fax
- (562) 591-1311
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2006
- Last Update Date
- 05-03-2023
- Code Navigator
Location Map
Secondary Locations
- 14726 Ramona Ave Ste 290
Chino, CA 91710
(714) 771-1213 - 15825 Laguna Canyon Rd Ste 201
Irvine, CA 92618
(949) 453-4661 - 293 S Main St Ste 100
Orange, CA 92868
(714) 771-1213 - 360 San Miguel Dr Ste 307
Newport Beach, CA 92660
(714) 771-1213
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- G83738
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | OP12694 (CA) |
| 2 | 152W00000X | Eye and Vision Services Providers | Optometrist | 13026TPA (CA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2070192
- Facility Type
- Physician Office
- Certificate Effective Date
- December 10, 2023
- Certificate Expiration Date
- December 09, 2025
- Laboratory Director
- DAN B. TRAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coastal Vision Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124131065, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 45 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124131065, enumerated as an "organization" on August 16, 2006.
The provider is located at 4300 LONG BEACH BLVD STE 400 LONG BEACH, CA 90807 and the phone number is (562) 591-7700.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee. Please consult your insurance carrier or call the provider to verify.
