COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.
NPI 1275735011
Health Maintenance Organization in San Luis Obispo, CA
NPI Status: Active since June 04, 2007
Contact Information
35 CASA ST STE 170
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 549-0677
Fax: (805) 549-7588
- Organization
- Health Maintenance Organization
- CLIA Number: 05D1096665
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-06-2027
About COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.
This page provides the complete NPI Profile along with additional information for Coastal Communities Physician Network, Inc., a provider established in San Luis Obispo, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1275735011 assigned on June 2007. The practitioner's primary taxonomy code is 302R00000X with license number 30221170 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Ju Huan Lee M.d. (Medical Director)
- NPI
- 1275735011
- Provider Name
- COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.
- Entity Type
- Organization
- Location Address
- 35 CASA ST STE 170 SAN LUIS OBISPO, CA 93405
- Location Phone
- (805) 549-0677
- Location Fax
- (805) 549-7588
- Mailing Address
- 4580 CALIFORNIA AVE BAKERSFIELD, CA 93309
- Mailing Phone
- (805) 549-0677
- Mailing Fax
- (805) 549-7588
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-04-2007
- Last Update Date
- 07-21-2015
- Code Navigator
Location Map
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
Health Maintenance Organization
- Taxonomy Code
- 302R00000X
- Type
- Managed Care Organizations
- License No.
- 30221170
- License State
- CA
- Taxonomy Description
- (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.
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
- 05D1096665
- Facility Type
- Physician Office
- Certificate Effective Date
- March 07, 2025
- Certificate Expiration Date
- March 06, 2027
- Laboratory Director
- ARDESHIR TALIEH, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coastal Communities Physician Network, Inc. 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 1275735011, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275735011, enumerated as an "organization" on June 04, 2007.
The provider is located at 35 CASA ST STE 170 SAN LUIS OBISPO, CA 93405 and the phone number is (805) 549-0677.
Health Maintenance Organization with taxonomy code 302R00000X.
