COASTLINE CORVALLIS CLINIC LLC
NPI 1457735615
Clinic/Center - Ambulatory Surgical in Corvallis, OR
About Coastline Corvallis Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTLINE CORVALLIS CLINIC LLC (NPI 1457735615), doing business as Coastline Foot And Ankle Center, is a healthcare organization registered as an ambulatory surgical in Corvallis, Oregon and active in the NPI registry since July 2015. The organization lists Linzie Gomez, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coastline Corvallis Clinic Llc 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 Coastline Corvallis Clinic LLC, 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.
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 Coastline Corvallis Clinic LLC's NPI number?
The NPI number for Coastline Corvallis Clinic LLC is 1457735615. It was assigned to this organization in the NPPES registry on July 16, 2015. The provider was formerly known as Coastline Foot And Ankle Center.
Where is Coastline Corvallis Clinic LLC located?
Coastline Corvallis Clinic LLC is located at 1829 NW Kings Blvd, Corvallis, OR 97330. The listed phone number is (541) 757-7100.
What is Coastline Corvallis Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Coastline Corvallis Clinic LLC enrolled in Medicare?
Yes. Coastline Corvallis Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastline Corvallis Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Coastline Corvallis Clinic LLC. 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.
What insurance does Coastline Corvallis Clinic LLC accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Coastline Corvallis Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Coastline Corvallis Clinic LLC was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Coastline Corvallis Clinic Llc · NPI 1457735615
Ambulatory Surgical organization in Corvallis, Oregon. Organization record, active in the CMS NPPES registry since July 16, 2015.
## Identity
- **NPI:** 1457735615 (Entity type: Organization)
- **Enumerated:** July 16, 2015
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** Yes (part of Coastline Foot And Ankle Clinic)
- **Authorized official:** Linzie Gomez, MANAGER
## Practice location
- **Address:** 1829 NW KINGS BLVD, Corvallis, OR 97330-1907
- **Phone:** (541) 757-7100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2020
- **Other identifiers:** Medicaid R164712 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1457735615) · Data from the CMS NPPES public registry.