COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.
NPI 1275735011
Health Maintenance Organization in San Luis Obispo, CA

Active since June 04, 2007CLIA 05D1096665 · Waiver
35 CASA ST STE 170, SAN LUIS OBISPO, CA 93405(805) 549-0677(805) 549-7588 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Communities Physician Network, Inc. NPPES

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

COASTAL COMMUNITIES PHYSICIAN NETWORK, INC. (NPI 1275735011) is a healthcare organization registered as a health maintenance organization in San Luis Obispo, California and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Ju Huan Lee, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1275735011
Entity TypeOrganization
Primary Taxonomy302R00000X
Legal Business NameCOASTAL COMMUNITIES PHYSICIAN NETWORK, INC.
Location Address35 CASA ST STE 170San Luis Obispo, CA 93405-1887
Mailing Address4580 California AveBakersfield, CA 93309-1104 · (805) 549-0677 · Fax (805) 549-7588
Fax(805) 549-7588
Organization SubpartNo
Authorized OfficialJu Huan LeeMedical Director · (661) 327-4411
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 21, 2015
NPI 1275735011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHealth Maintenance OrganizationManaged Care Organizations
Taxonomy Code302R00000X
License Licensed in CA · 30221170
Definition
(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.
35 CASA ST STE 170, San Luis Obispo, CA 93405

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 05D1096665

Coastal Communities Physician Network · San Luis Obispo, CA
Active · expires Mar 6, 2027
CLIA Number05D1096665
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorArdeshir Talieh, MD
Laboratory Phone(661) 616-9416
Laboratory LocationCoastal Communities Physician Network35 Casa St Ste 170, San Luis Obispo, CA 93405
CLIA data matches this NPI record on: Address Name
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.

Family Medicine (Adult Medicine)
35 CASA ST STE 170
SAN LUIS OBISPO, CA 93405

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 Communities Physician Network, Inc.'s NPI number?

The NPI number for Coastal Communities Physician Network, Inc. is 1275735011. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Coastal Communities Physician Network, Inc. located?

Coastal Communities Physician Network, Inc. is located at 35 Casa St Ste 170, San Luis Obispo, CA 93405. The listed phone number is (805) 549-0677.

What is Coastal Communities Physician Network, Inc.'s specialty?

The primary specialty registered for this NPI is Health Maintenance Organization with taxonomy code 302R00000X.

Does Coastal Communities Physician Network, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1096665) is associated with this NPI, valid through March 6, 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 Communities Physician Network, Inc. was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.