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COASTAL FUNCTIONAL MEDICINE
NPI 1487328951
Family Medicine in Fort Bragg, CA

Active since August 06, 2021
17800 FREITAS LN, FORT BRAGG, CA 95437(707) 440-9898 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Functional Medicine NPPES

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

COASTAL FUNCTIONAL MEDICINE (NPI 1487328951) is a healthcare organization registered as a family medicine in Fort Bragg, California and active in the NPI registry since August 2021. The organization lists Sandra Fleming, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487328951
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL FUNCTIONAL MEDICINE
Location Address17800 FREITAS LNFort Bragg, CA 95437-8329
Mailing Address17800 Freitas LnFort Bragg, CA 95437-8329 · (707) 440-9898
Phone(707) 440-9898
Organization SubpartNo
Authorized OfficialSandra FlemingCeo · (707) 440-9898
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1487328951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17800 FREITAS LN, Fort Bragg, CA 95437
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DR. SANDRA FLEMING M.D.
Family Medicine
17800 FREITAS LN
FORT BRAGG, CA 95437
Mendocino County (707) 440-9898

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 Functional Medicine's NPI number?

The NPI number for Coastal Functional Medicine is 1487328951. It was assigned to this organization in the NPPES registry on August 6, 2021.

Where is Coastal Functional Medicine located?

Coastal Functional Medicine is located at 17800 Freitas Ln, Fort Bragg, CA 95437. The listed phone number is (707) 440-9898.

What is Coastal Functional Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Coastal Functional Medicine was last updated on August 6, 2021. 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.