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COASTAL PRESTIGE CLINIC
NPI 1487254413
Obstetrics & Gynecology in Shell Beach, CA

Active since October 28, 2020
1677 SHELL BEACH RD, SHELL BEACH, CA 93449(805) 416-2263(805) 201-9134 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Prestige Clinic NPPES

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

COASTAL PRESTIGE CLINIC (NPI 1487254413) is a healthcare organization registered as an obstetrics & gynecology in Shell Beach, California and active in the NPI registry since October 2020. The organization lists Johnnie Ham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487254413
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCOASTAL PRESTIGE CLINIC
Location Address1677 SHELL BEACH RDShell Beach, CA 93449-1927
Mailing Address1677 Shell Beach RdShell Beach, CA 93449-1927 · (805) 416-2263 · Fax (805) 201-9134
Phone(805) 416-2263
Fax(805) 201-9134
Organization SubpartNo
Authorized OfficialJohnnie HamCeo · (805) 416-2263
Enumeration DateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1487254413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedPsychologist · FamilyTaxonomy 103TF0000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1677 SHELL BEACH RD, Shell Beach, CA 93449
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL PRESTIGE MEDICAL SERVICES, INC
Clinic/Center (Primary Care)
1677 SHELL BEACH RD
SHELL BEACH, CA 93449
San Luis Obispo County (805) 201-9135

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 Prestige Clinic's NPI number?

The NPI number for Coastal Prestige Clinic is 1487254413. It was assigned to this organization in the NPPES registry on October 28, 2020.

Where is Coastal Prestige Clinic located?

Coastal Prestige Clinic is located at 1677 Shell Beach Rd, Shell Beach, CA 93449. The listed phone number is (805) 416-2263.

What is Coastal Prestige Clinic's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Coastal Prestige Clinic was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.