DOGTOWN COMMUNITY HEALTH
NPI 1679967475
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Monica, CA

Active since March 19, 2015
2009 MAIN ST, SANTA MONICA, CA 90405(818) 880-0250 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dogtown Community Health NPPES

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

DOGTOWN COMMUNITY HEALTH (NPI 1679967475) is a healthcare organization registered as a mental health (including community mental health center) in Santa Monica, California and active in the NPI registry since March 2015. The organization lists Rhonda Jessum, Founder And Director, as its authorized official.

NPPES Registry Identity

NPI1679967475
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOASTLINE COMMUNITY HEALTH
Location Address2009 MAIN STSanta Monica, CA 90405-1021
Mailing Address4831 Las Virgenes Rd # 177Calabasas, CA 91302-1911 · (818) 880-0250
Organization SubpartNo
Authorized OfficialRhonda JessumFounder And Director · (818) 880-0250
Enumeration DateMarch 19, 2015
NPI 1679967475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Licenses Licensed in CA · PSY15775 Licensed in HI · PSY-1519
2009 MAIN ST, Santa Monica, CA 90405

Other Names 1

Doing Business AsDogtown Community Health

Other Identifiers 1

Medicare PIN1457400400CA

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 Coastline Community Health's NPI number?

The NPI number for Coastline Community Health is 1679967475. It was assigned to this organization in the NPPES registry on March 19, 2015. The provider is doing business as Dogtown Community Health.

Where is Coastline Community Health located?

Coastline Community Health is located at 2009 Main St, Santa Monica, CA 90405. The listed phone number is (818) 880-0250.

What is Coastline Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Coastline Community Health was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.