COASTSIDE HEALTH AND MEDICAL CLINIC, INC.
NPI 1700253556
Clinic/Center - Primary Care in Daly City, CA

Active since August 27, 2015
1618 SULLIVAN AVE, #208, DALY CITY, CA 94015(650) 994-4444(650) 994-3051 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastside Health And Medical Clinic, Inc. NPPES

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

COASTSIDE HEALTH AND MEDICAL CLINIC, INC. (NPI 1700253556) is a healthcare organization registered as a primary care in Daly City, California and active in the NPI registry since August 2015. The organization lists Christopher Hermanson, Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1700253556
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOASTSIDE HEALTH AND MEDICAL CLINIC, INC.
Location Address1618 SULLIVAN AVE, #208Daly City, CA 94015-1967
Mailing Address1618 Sullivan Ave, #208Daly City, CA 94015-1967 · (650) 994-4444 · Fax (650) 994-3051
Fax(650) 994-3051
Organization SubpartNo
Authorized OfficialChristopher HermansonMedical Officer · (650) 994-4444
Enumeration DateAugust 27, 2015
NPI 1700253556 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 · A67810
1618 SULLIVAN AVE, Daly City, CA 94015

Other Identifiers 1

Medicare UPINH18020CA

Other Providers at the Same Location NPPES 8

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

Chiropractor
1618 SULLIVAN AVE, SUITE 208
DALY CITY, CA 94015
Physical Medicine & Rehabilitation (Pain Medicine)
1618 SULLIVAN AVE, SUITE #208
DALY CITY, CA 94015
Dentist (General Practice)
1618 SULLIVAN AVE, SUITE 202
DALY CITY, CA 94015
Physical Medicine & Rehabilitation (Sports Medicine)
1618 SULLIVAN AVE, 208
DALY CITY, CA 94015
Registered Nurse (Home Health)
1618 SULLIVAN AVE, #353
DALY CITY, CA 94015
Clinic/Center (Dental)
1618 SULLIVAN AVE, STE. 202
DALY CITY, CA 94015
Chiropractor
1618 SULLIVAN AVE, SUITE 208
DALY CITY, CA 94015
Nurse Practitioner (Adult Health)
1618 SULLIVAN AVE, STE 208
DALY CITY, CA 94015

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 Coastside Health And Medical Clinic, Inc.'s NPI number?

The NPI number for Coastside Health And Medical Clinic, Inc. is 1700253556. It was assigned to this organization in the NPPES registry on August 27, 2015.

Where is Coastside Health And Medical Clinic, Inc. located?

Coastside Health And Medical Clinic, Inc. is located at 1618 Sullivan Ave #208, Daly City, CA 94015. The listed phone number is (650) 994-4444.

What is Coastside Health And Medical Clinic, 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 Coastside Health And Medical Clinic, Inc. was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.