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ATLANTIC COVE MEDICAL GROUP
NPI 1649093097
Family Medicine in Woodland Hills, CA

Active since November 04, 2024CLIA 10D2306667 · Waiver
22141 VENTURA BLVD STE 300, WOODLAND HILLS, CA 91364(941) 208-3070(941) 208-3070 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Atlantic Cove Medical Group NPPES

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

ATLANTIC COVE MEDICAL GROUP (NPI 1649093097) is a healthcare organization registered as a family medicine in Woodland Hills, California and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Collins Ezeuka, Ceo, Cmo, Founder, as its authorized official.

NPPES Registry Identity

NPI1649093097
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATLANTIC COVE MEDICAL GROUP
Location Address22141 VENTURA BLVD STE 300Woodland Hills, CA 91364-5734
Mailing Address5342 Clark Rd # 3072Sarasota, FL 34233-3227 · (941) 208-3070
Phone(941) 208-3070
Fax(941) 208-3070
Organization SubpartNo
Authorized OfficialCollins EzeukaCeo, Cmo, Founder · (941) 208-3070
Enumeration DateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1649093097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
22141 VENTURA BLVD STE 300, Woodland Hills, CA 91364
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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

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 10D2306667

Atlantic Cove Medical Group, LLC · Port Charlotte, FL
Active · expires Jun 23, 2028
CLIA Number10D2306667
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorCollins Ezeuka
Laboratory Phone(941) 208-3070
Laboratory LocationAtlantic Cove Medical Group, LLC4161 Tamiami Trail, Bldg 6, Ste 601, Port Charlotte, FL 33952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

GIBRALTAR HEALTHCARE SUPPLIES LLC
Durable Medical Equipment & Medical Supplies
22141 VENTURA BLVD STE 300
WOODLAND HILLS, CA 91364
Los Angeles County (818) 880-4600
GIBRALTAR HOME HEALTH SERVICES, LLC
Home Health
22141 VENTURA BLVD STE 300
WOODLAND HILLS, CA 91364
Los Angeles County (818) 880-8600

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 Atlantic Cove Medical Group's NPI number?

The NPI number for Atlantic Cove Medical Group is 1649093097. It was assigned to this organization in the NPPES registry on November 4, 2024.

Where is Atlantic Cove Medical Group located?

Atlantic Cove Medical Group is located at 22141 Ventura Blvd Ste 300, Woodland Hills, CA 91364. The listed phone number is (941) 208-3070.

What is Atlantic Cove Medical Group's specialty?

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

Does Atlantic Cove Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2306667) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atlantic Cove Medical Group was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.