Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COASTAL CONCIERGE PHYSICIANS
NPI 1578486338
General Practice in Coronado, CA

Active since July 30, 2026
917 A AVE, CORONADO, CA 92118(619) 675-9502(619) 566-4943 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Coastal Concierge Physicians NPPES

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

COASTAL CONCIERGE PHYSICIANS (NPI 1578486338) is a healthcare organization registered as a general practice in Coronado, California and active in the NPI registry since July 2026. The organization lists Michael Holman, President, as its authorized official.

NPPES Registry Identity

NPI1578486338
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCOASTAL CONCIERGE PHYSICIANS
Location Address917 A AVECoronado, CA 92118-2628
Mailing Address917 A AveCoronado, CA 92118-2628 · (619) 675-9502 · Fax (619) 566-4943
Fax(619) 566-4943
Organization SubpartNo
Authorized OfficialMichael HolmanPresident · (619) 762-4991
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1578486338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
917 A AVE, Coronado, CA 92118

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Concierge Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Coastal Concierge Physicians, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Hospitalist
NPI 1861657744
200 W ARBOR DR
San Diego, CA 92103
(619) 543-6737
✔ PECOS✔ Accepts Medicare4.6 mi
Emergency Medicine
NPI 1619221777
200 W ARBOR DR # 8676
San Diego, CA 92103
(619) 543-6400
✔ PECOS✔ Accepts Medicare4.6 mi
Emergency Medicine
NPI 1164414827
751 MEDICAL CENTER CT
Chula Vista, CA 91911
(619) 502-3477
✔ PECOS✔ Accepts Medicare12 mi
Emergency Medicine
NPI 1902224686
751 MEDICAL CENTER CT
Chula Vista, CA 91911
(619) 502-5800
✔ PECOS✔ Accepts Medicare12 mi
Emergency Medicine
NPI 1821418559
207 W LEGION RD
Brawley, CA 92227
(760) 351-3333
✔ PECOS✔ Accepts Medicare98 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Concierge Physicians's NPI number?

The NPI number for Coastal Concierge Physicians is 1578486338. It was assigned to this organization in the NPPES registry on July 30, 2026.

Where is Coastal Concierge Physicians located?

Coastal Concierge Physicians is located at 917 A Ave, Coronado, CA 92118. The listed phone number is (619) 675-9502.

What is Coastal Concierge Physicians's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Coastal Concierge Physicians enrolled in Medicare?

Yes. Coastal Concierge Physicians is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Concierge Physicians?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Coastal Concierge Physicians. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (4) and Hospitalist (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Concierge Physicians was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.