CROWN ISLAND FAMILY PRACTICE A MEDICAL CORPORATION
NPI 1265855506
Family Medicine in Coronado, CA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crown Island Family Practice A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Crown Island Family Practice A Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Crown Island Family Practice A Medical Corporation enrolled in Medicare?
Yes. Crown Island Family Practice A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crown Island Family Practice A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Crown Island Family Practice A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 4 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.
# Crown Island Family Practice A Medical Corporation · NPI 1265855506
Family Medicine organization in Coronado, California. Organization record, active in the CMS NPPES registry since January 22, 2014.
## Identity
- **NPI:** 1265855506 (Entity type: Organization)
- **Enumerated:** January 22, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kevin Considine, MEDICAL DIRECTOR
## Practice location
- **Address:** 230 PROSPECT PL, SUITE 350, Coronado, CA 92118-1978
- **Phone:** (619) 537-6910 · **Fax:** (619) 537-6905
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1265855506) · Data from the CMS NPPES public registry.