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COAST SPINE AND SPORTS MEDICINE SURGERY CENTER LLC
NPI 1265014781
Clinic/Center - Ambulatory Surgical in Newport Beach, CA

Active since April 23, 2021CLIA 05D2331629 · Waiver
20321 IRVINE AVE STE F2, NEWPORT BEACH, CA 92660(714) 285-0014(714) 285-0018 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 25, 2026, Apr 23, 2021 (2 updates tracked since 2021).

About Coast Spine And Sports Medicine Surgery Center Llc NPPES

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

COAST SPINE AND SPORTS MEDICINE SURGERY CENTER LLC (NPI 1265014781) is a healthcare organization registered as an ambulatory surgical in Newport Beach, California and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Assad Michael Moheimani, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265014781
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOAST SPINE AND SPORTS MEDICINE SURGERY CENTER LLC
Location Address20321 IRVINE AVE STE F2Newport Beach, CA 92660-0200
Mailing Address20321 Irvine Ave Ste F2Newport Beach, CA 92660-0200 · (714) 285-0014 · Fax (714) 285-0018
Phone(714) 285-0014
Fax(714) 285-0018
Organization SubpartNo
Authorized OfficialAssad Michael MoheimaniMedical Director · (714) 285-0014
Enumeration DateApril 23, 2021
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1265014781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
20321 IRVINE AVE STE F2, Newport Beach, CA 92660
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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 Waiver 05D2331629

Coast Spine & Sports Medicine Surgery Center · Newport Beach, CA
Active · expires Oct 5, 2027
CLIA Number05D2331629
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorAssad M. Moheimani
Laboratory Phone(714) 258-0014
Laboratory LocationCoast Spine & Sports Medicine Surgery Center20321 Irvine Avenue Suite F2, Newport Beach, CA 92660
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

BAYSIDE SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
20321 IRVINE AVE STE F2
NEWPORT BEACH, CA 92660
Orange County (310) 703-7713

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 Coast Spine And Sports Medicine Surgery Center LLC's NPI number?

The NPI number for Coast Spine And Sports Medicine Surgery Center LLC is 1265014781. It was assigned to this organization in the NPPES registry on April 23, 2021.

Where is Coast Spine And Sports Medicine Surgery Center LLC located?

Coast Spine And Sports Medicine Surgery Center LLC is located at 20321 Irvine Ave Ste F2, Newport Beach, CA 92660. The listed phone number is (714) 285-0014.

What is Coast Spine And Sports Medicine Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Coast Spine And Sports Medicine Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2331629) is associated with this NPI, valid through October 5, 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 Coast Spine And Sports Medicine Surgery Center LLC was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.