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COASTAL PEDIATRICS MEDICAL GROUP
NPI 1528193109
Pediatrics - Adolescent Medicine in Oxnard, CA

Active since February 22, 2007CLIA 05D0707631 · Waiver
451 W GONZALES RD, STE 340, OXNARD, CA 93036(805) 983-3900(805) 983-3887 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Pediatrics Medical Group NPPES

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

COASTAL PEDIATRICS MEDICAL GROUP (NPI 1528193109) is a healthcare organization registered as an adolescent medicine in Oxnard, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lori Bohannan, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1528193109
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameCOASTAL PEDIATRICS MEDICAL GROUP
Location Address451 W GONZALES RD, STE 340Oxnard, CA 93036-9004
Mailing Address451 W Gonzales Rd, Ste 340Oxnard, CA 93036-9004 · (805) 983-3900 · Fax (805) 983-3887
Phone(805) 983-3900
Fax(805) 983-3887
Organization SubpartNo
Authorized OfficialLori BohannanPractice Manager · (805) 983-3900
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1528193109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
451 W GONZALES RD, Oxnard, CA 93036
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Other Identifiers 1

MedicaidZZZ76023ZCA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0707631

Coastal Pediatric Medical Grp Inc · Oxnard, CA
Active · expires Aug 31, 2026
CLIA Number05D0707631
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRobert T. Fostakowsky, MD
Laboratory Phone(805) 983-3900
Laboratory LocationCoastal Pediatric Medical Grp Inc451 W Gonzales Rd Ste 340, Oxnard, CA 93030
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MS. NICOLE ARCEO D.O.
Pediatrics
451 W GONZALES RD
OXNARD, CA 93036
Ventura County (805) 983-3900
ANAIT ALABYAN D.D.S., INC.
Dentist (General Practice)
451 W GONZALES RD, SUITE #110
OXNARD, CA 93036
Ventura County (805) 485-2334
DR. DUANE LOREN CHAN D.D.S.
Dentist (General Practice)
451 W GONZALES RD, SUITE 110
OXNARD, CA 93036
Ventura County (805) 485-2334
SPECIALTY CARE CLINIC
Anesthesiology (Critical Care Medicine)
451 W GONZALES RD, 220
OXNARD, CA 93036
Ventura County (805) 983-0300
DR. IRENE CRUZ DDS
Dentist
451 W GONZALES RD, SUITE 250
OXNARD, CA 93036
Ventura County (805) 485-7710
LUZ CUBILLOS D.D.S.,INC
Dentist (General Practice)
451 W GONZALES RD, SUITE 160
OXNARD, CA 93036
Ventura County (805) 988-3303
DR. RAYMOND JOHN DIGIGLIO D.M.D.
Dentist (General Practice)
451 W GONZALES RD, SUITE 110
OXNARD, CA 93036
Ventura County (805) 485-2334
KEITH ENGLISH M.D. INC.
Family Medicine
451 W GONZALES RD, SUITE 240
OXNARD, CA 93036
Ventura County (805) 988-3355

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 Pediatrics Medical Group's NPI number?

The NPI number for Coastal Pediatrics Medical Group is 1528193109. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Coastal Pediatrics Medical Group located?

Coastal Pediatrics Medical Group is located at 451 W Gonzales Rd Ste 340, Oxnard, CA 93036. The listed phone number is (805) 983-3900.

What is Coastal Pediatrics Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Coastal Pediatrics Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0707631) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Pediatrics Medical Group was last updated on August 22, 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.