COASTAL COMMUNITIES PHYSICIAN NETWORK, INC.
NPI 1275735011
Health Maintenance Organization in San Luis Obispo, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coastal Communities Physician Network, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Coastal Communities Physician Network, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
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 05D1096665
Coastal Communities Physician Network · San Luis Obispo, 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 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.
Is Coastal Communities Physician Network, Inc. enrolled in Medicare?
Yes. Coastal Communities Physician Network, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Communities Physician Network, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Coastal Communities Physician Network, Inc.. 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. The largest specialties are Internal Medicine (7), Family Practice (5) and Nurse Practitioner (3). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Coastal Communities Physician Network, Inc. · NPI 1275735011
Health Maintenance Organization organization in San Luis Obispo, California. Organization record, active in the CMS NPPES registry since June 4, 2007.
## Identity
- **NPI:** 1275735011 (Entity type: Organization)
- **Enumerated:** June 4, 2007
- **Primary specialty:** Health Maintenance Organization · taxonomy 302R00000X
- **Organization subpart:** No
- **Authorized official:** Ju Huan Lee, MEDICAL DIRECTOR
## Practice location
- **Address:** 35 CASA ST STE 170, San Luis Obispo, CA 93405-1887
- **Phone:** (805) 549-0677 · **Fax:** (805) 549-7588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (7), Family Practice (5), Nurse Practitioner (3); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275735011) · Data from the CMS NPPES public registry.