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COASTAL FAMILY DERMATOLOGY, PC
NPI 1174927073
Dermatology - Pediatric Dermatology in San Luis Obispo, CA

Active since October 21, 2014CLIA 05D2330662 · Certificate of Compliance
892 AEROVISTA PL STE 120, SAN LUIS OBISPO, CA 93401(805) 544-5567(805) 544-3265 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Family Dermatology, Pc NPPES

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

COASTAL FAMILY DERMATOLOGY, PC (NPI 1174927073) is a healthcare organization registered as a pediatric dermatology in San Luis Obispo, California and active in the NPI registry since October 2014. The organization holds a CLIA Certificate of Compliance certificate valid through September 18, 2027, maintains a secondary practice location in Santa Maria, and lists Christine Denise Kilcline, M.d./owner, as its authorized official.

NPPES Registry Identity

NPI1174927073
Entity TypeOrganization
Primary Taxonomy207NP0225X
Legal Business NameCOASTAL FAMILY DERMATOLOGY, PC
Location Address892 AEROVISTA PL STE 120San Luis Obispo, CA 93401-8054
Mailing Address892 Aerovista Pl Ste 120San Luis Obispo, CA 93401-8054 · (805) 544-5567 · Fax (805) 544-3265
Phone(805) 544-5567
Fax(805) 544-3265
Organization SubpartNo
Authorized OfficialChristine Denise KilclineM.d./owner · (805) 544-5567
Enumeration DateOctober 21, 2014
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1174927073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License✔ Licensed in CA · A72400
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License A72400 (CA)
892 AEROVISTA PL STE 120, San Luis Obispo, CA 93401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1525 Plaza Dr Ste 200Santa Maria, CA 93454-6954 · Phone (805) 544-5567 · Fax (805) 544-3265

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 2

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 05D2330662

Coastal Family Dermatology, PC · Santa Maria, CA
Active · expires Sep 18, 2027
CLIA Number05D2330662
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorChristine D. Kilcline
Laboratory Phone(805) 544-4467
Laboratory LocationCoastal Family Dermatology, PC525 Plaza Dr Ste 200, Santa Maria, CA 93454
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 05D2165534

Coastal Family Dermatology, PC · San Luis Obispo, CA
Expired · Jul 31, 2026
CLIA Number05D2165534
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorChristine D. Kilcline
Laboratory Phone(805) 544-5567
Laboratory LocationCoastal Family Dermatology, PC892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401
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 7

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

NATALIE ROBERTSON PA-C
Physician Assistant
892 AEROVISTA PL STE 120
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-5567
CHRISTINE DENISE KILCLINE M.D.
Dermatology (Procedural Dermatology)
892 AEROVISTA PL STE 120
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-5567
COASTAL FAMILY DERMATOLOGY, PC
Dermatology (Pediatric Dermatology)
892 AEROVISTA PL STE 120
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-5567
KATHERINE BRADY VAN BEURDEN PA-C
Physician Assistant
892 AEROVISTA PL STE 120
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-5567
MADELINE GUREWITZ PA-C
Physician Assistant (Medical)
892 AEROVISTA PL STE 120
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-5567
KRISTEN BENZ PA-C
Dermatology
892 AEROVISTA PL STE 120
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-5567
JESSY MACKENZIE ARTHURS PA
Dermatology
892 AEROVISTA PL STE 120
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 544-5567

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 Family Dermatology, PC's NPI number?

The NPI number for Coastal Family Dermatology, PC is 1174927073. It was assigned to this organization in the NPPES registry on October 21, 2014.

Where is Coastal Family Dermatology, PC located?

Coastal Family Dermatology, PC is located at 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401. The listed phone number is (805) 544-5567.

What is Coastal Family Dermatology, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Does Coastal Family Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2330662) is associated with this NPI, valid through September 18, 2027. 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 Family Dermatology, PC was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.