COASTAL PRESTIGE MEDICAL SERVICES, INC
NPI 1518101989
Clinic/Center - Primary Care in Shell Beach, CA

Q: What is Coastal Prestige Medical Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since April 28, 2009

1677 SHELL BEACH RD, SHELL BEACH, CA 93449(805) 201-9135(805) 201-9134 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Coastal Prestige Medical Services, Inc NPPES

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

COASTAL PRESTIGE MEDICAL SERVICES, INC (NPI 1518101989) is a healthcare organization registered as a primary care in Shell Beach, California and active in the NPI registry since April 2009. The organization lists Johnnie Alan Ham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518101989

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameCOASTAL PRESTIGE MEDICAL SERVICES, INC

Location Address1677 SHELL BEACH RDShell Beach, CA 93449-1927

Mailing Address1677 Shell Beach RdShell Beach, CA 93449-1927 · (805) 201-9135 · Fax (805) 201-9134

Phone(805) 201-9135

Fax(805) 201-9134

Organization SubpartNo

Authorized OfficialJohnnie Alan HamCeo · (805) 201-9135

Enumeration DateApril 28, 2009

Last NPPES UpdateMarch 12, 2020

NPPES CertifiedMarch 12, 2020

✔ NPI 1518101989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in CA · A90443

1677 SHELL BEACH RD, Shell Beach, CA 93449

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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 CLINIC

Obstetrics & Gynecology

1677 SHELL BEACH RD
SHELL BEACH, CA 93449

San Luis Obispo County (805) 416-2263

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 Medical Services, Inc's NPI number?

The NPI number for Coastal Prestige Medical Services, Inc is 1518101989. It was assigned to this organization in the NPPES registry on April 28, 2009.

Where is Coastal Prestige Medical Services, Inc located?

Coastal Prestige Medical Services, Inc is located at 1677 Shell Beach Rd, Shell Beach, CA 93449. The listed phone number is (805) 201-9135.

What is Coastal Prestige Medical Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Coastal Prestige Medical Services, Inc was last updated on March 12, 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.