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COASTSIDE FAMILY MEDICAL CLINIC, INC
NPI 1508916628
Family Medicine in Half Moon Bay, CA

Active since January 11, 2007
225 CABRILLO HWY S STE 100A, HALF MOON BAY, CA 94019(650) 712-7330(650) 726-9317 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastside Family Medical Clinic, Inc NPPES

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

COASTSIDE FAMILY MEDICAL CLINIC, INC (NPI 1508916628) is a healthcare organization registered as a family medicine in Half Moon Bay, California and active in the NPI registry since January 2007. The organization lists Robert V Harless, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1508916628
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTSIDE FAMILY MEDICAL CLINIC, INC
Location Address225 CABRILLO HWY S STE 100AHalf Moon Bay, CA 94019-1738
Mailing Address225 Cabrillo Hwy S Ste 100aHalf Moon Bay, CA 94019-1738 · (650) 712-7330 · Fax (650) 726-9317
Phone(650) 712-7330
Fax(650) 726-9317
Organization SubpartNo
Authorized OfficialRobert V HarlessChief Executive Officer · (650) 712-7330
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508916628 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.

225 CABRILLO HWY S STE 100A, Half Moon Bay, CA 94019
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Other Identifiers 1

MedicaidCMM70942FCA

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 3

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

VIDUR MALIK
Marriage & Family Therapist
225 CABRILLO HWY S STE 100A
HALF MOON BAY, CA 94019
San Mateo County (510) 789-8037
NICOLE WERNER
Student in an Organized Health Care Education/Training Program
225 CABRILLO HWY S STE 100A
HALF MOON BAY, CA 94019
San Mateo County (650) 573-3941
DR. LORRAINE R PAGE M.D.
Family Medicine
225 CABRILLO HWY S STE 100A
HALF MOON BAY, CA 94019
San Mateo County (650) 712-7330

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 Coastside Family Medical Clinic, Inc's NPI number?

The NPI number for Coastside Family Medical Clinic, Inc is 1508916628. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Coastside Family Medical Clinic, Inc located?

Coastside Family Medical Clinic, Inc is located at 225 Cabrillo Hwy S Ste 100A, Half Moon Bay, CA 94019. The listed phone number is (650) 712-7330.

What is Coastside Family Medical Clinic, Inc'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 Coastside Family Medical Clinic, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.