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CROWN ISLAND FAMILY PRACTICE A MEDICAL CORPORATION
NPI 1265855506
Family Medicine in Coronado, CA

Active since January 22, 2014CLIA 05D2075596 · Waiver
230 PROSPECT PL, SUITE 350, CORONADO, CA 92118(619) 537-6910(619) 537-6905 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Jun 17, 2020 (2 updates tracked since 2020).

About Crown Island Family Practice A Medical Corporation NPPES

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

CROWN ISLAND FAMILY PRACTICE A MEDICAL CORPORATION (NPI 1265855506) is a healthcare organization registered as a family medicine in Coronado, California and active in the NPI registry since January 2014. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Kevin Considine, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265855506
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROWN ISLAND FAMILY PRACTICE A MEDICAL CORPORATION
Location Address230 PROSPECT PL, SUITE 350Coronado, CA 92118-1978
Mailing Address230 Prospect Pl, Suite 350Coronado, CA 92118-1978 · (619) 537-6910 · Fax (619) 537-6905
Phone(619) 537-6910
Fax(619) 537-6905
Organization SubpartNo
Authorized OfficialKevin ConsidineMedical Director · (619) 537-6910
Enumeration DateJanuary 22, 2014
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1265855506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A6446
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
230 PROSPECT PL, Coronado, CA 92118
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2075596

Crown Island Family Practice · Coronado, CA
Active · expires Mar 31, 2028
CLIA Number05D2075596
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorKevin C. Considine
Laboratory Phone(619) 537-6910
Laboratory LocationCrown Island Family Practice230 Prospect Pl Ste 350, Coronado, CA 92118
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MS. DIANE VILLEGAS ACAGNP-BC
Nurse Practitioner (Gerontology)
230 PROSPECT PL
CORONADO, CA 92118
San Diego County (619) 435-1660
DR. CHARLENE VIMALA KAKIMOTO M.D.
Dermatology
230 PROSPECT PL, STE. 260
CORONADO, CA 92118
San Diego County (619) 437-1146
DR. NANCY B. MURRAY M.D.
Dermatology (Procedural Dermatology)
230 PROSPECT PL, STE 260
CORONADO, CA 92118
San Diego County (619) 437-1146
KRISTIN LEGVOLD PAULSON PA-C
Physician Assistant
230 PROSPECT PL, SUITE 350
SAN DIEGO, CA 92118
San Diego County (619) 437-1388
KAREN GORDON MD
Internal Medicine (Gastroenterology)
230 PROSPECT PL, SUITE 220
CORONADO, CA 92118
San Diego County (619) 435-1138
NANCY ADAM M.D.
Family Medicine
230 PROSPECT PL, STE 340B
CORONADO, CA 92118
San Diego County (949) 713-3998
DR. KEVIN C. CONSIDINE D.O.
Family Medicine
230 PROSPECT PL, SUITE 350
CORONADO, CA 92118
San Diego County (619) 537-6910
SYNERGY ORTHOPEDIC SPECIALISTS, INC.
Specialist
230 PROSPECT PL, SUITE 230
CORONADO, CA 92118
San Diego County (619) 435-7282

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 Crown Island Family Practice A Medical Corporation's NPI number?

The NPI number for Crown Island Family Practice A Medical Corporation is 1265855506. It was assigned to this organization in the NPPES registry on January 22, 2014.

Where is Crown Island Family Practice A Medical Corporation located?

Crown Island Family Practice A Medical Corporation is located at 230 Prospect Pl Suite 350, Coronado, CA 92118. The listed phone number is (619) 537-6910.

What is Crown Island Family Practice A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Crown Island Family Practice A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2075596) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crown Island Family Practice A Medical Corporation was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.