COASTAL KIDS
NPI 1740311737
Pediatrics in Newport Beach, CA

Active since March 08, 2007CLIA Certified · 21 labs
2071 SAN JOAQUIN HILLS RD, NEWPORT BEACH, CA 92660(949) 759-1720(949) 759-1442 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 17, 2023, Mar 2, 2022, Feb 3, 2022 and 3 more (6 updates tracked since 2020).

About Coastal Kids NPPES

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

COASTAL KIDS (NPI 1740311737) is a healthcare organization registered as a pediatrics in Newport Beach, California and active in the NPI registry since March 2007. The organization holds 21 active CLIA laboratory certificates, maintains 22 additional practice locations, and lists Jeffrey Thompson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1740311737
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCOASTAL KIDS, A PROFESSIONAL MEDICAL CORPORATION
Location Address2071 SAN JOAQUIN HILLS RDNewport Beach, CA 92660-6505
Mailing Address24422 Avenida De La Carlota Ste 300Laguna Hills, CA 92653-3628 · (949) 599-2434 · Fax (949) 599-2430
Fax(949) 759-1442
Organization SubpartNo
Authorized OfficialJeffrey ThompsonVice President · (949) 448-8821
Enumeration DateMarch 8, 2007
Last NPPES UpdateNovember 17, 20236 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1740311737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A56395
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2071 SAN JOAQUIN HILLS RD, Newport Beach, CA 92660

Other Names 2

Doing Business AsCoastal Kids
Doing Business AsCoastal Kids, A Professional Medical Corporation

Secondary Practice Locations 22

Location 118370 Burbank Blvd Ste 307Tarzana, CA 91356-2850 · Phone (818) 996-6000 · Fax (818) 996-4712
Location 22920 W Sunset BlvdLos Angeles, CA 90026-2128 · Phone (323) 825-9223 · Fax (323) 978-4883
Location 324422 Avenida De La Carlota Ste 130Laguna Hills, CA 92653-3618 · Phone (949) 951-1376
Location 44968 Booth Cir Ste 106Irvine, CA 92604-3370 · Phone (949) 387-4900
Location 5333 Corporate Dr Ste 200Ladera Ranch, CA 92694-2179 · Phone (949) 347-7200
Location 65448 Franklin Ave Ste 106Los Angeles, CA 90027-1614 · Phone (323) 825-9228 · Fax (323) 978-4883
Location 73501 S Harbor BlvdSanta Ana, CA 92704-6919 · Phone (714) 929-2300
Location 81230 E Arrow HwyUpland, CA 91786-4910 · Phone (909) 622-1235
Location 91920 N Garey AvePomona, CA 91767-2720 · Phone (909) 622-1235
Location 109802 Stockdale Hwy Ste 103Bakersfield, CA 93311-3653 · Phone (661) 663-4444 · Fax (661) 663-4100
Location 112601 E Main St Ste 200Ventura, CA 93003-2801 · Phone (805) 643-7500 · Fax (805) 643-7510
Location 1229525 Canwood St Ste 250Agoura Hills, CA 91301-4231 · Phone (818) 735-5555 · Fax (818) 996-4712
Location 13300 Old River RdBakersfield, CA 93311-9503 · Phone (661) 663-4700 · Fax (661) 663-4740
Location 141215 34th StBakersfield, CA 93301-2107 · Phone (661) 663-4700 · Fax (661) 489-3338
Location 159508 Stockdale Hwy Ste 150Bakersfield, CA 93311-3623 · Phone (661) 663-7500 · Fax (661) 663-7503
Location 16451 W Gonzales Rd Ste 130Oxnard, CA 93036-0721 · Phone (805) 981-7691 · Fax (805) 981-7676
Location 17114 Pacifica Ste 340Irvine, CA 92618-3329 · Phone (949) 759-1720
Location 1825500 Rancho Niguel Rd Ste 110Laguna Niguel, CA 92677-7373 · Phone (949) 448-8821
Location 19142 W Los Angeles AveMoorpark, CA 93021-1897 · Phone (805) 529-7788
Location 2017742 Beach Blvd Ste 240Huntington Beach, CA 92647-6835 · Phone (714) 842-0444 · Fax (714) 842-8444
Location 21299 W Hillcrest Dr Ste 100Thousand Oaks, CA 91360-7820 · Phone (805) 497-7888
Location 221250 La Venta Dr Ste 103Westlake Village, CA 91361-3757 · Phone (805) 495-0841

Other Identifiers 1

Medicaid00A563950CA

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 21

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 05D0702921

Coastal Kids, A Prof Medical Corporation Dba Coastal Kids · Huntington Beach, CA
Active · expires Aug 31, 2028
CLIA Number05D0702921
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorGrace M. Kasamatsu
Laboratory Phone(714) 842-0444
Laboratory LocationCoastal Kids, A Prof Medical Corporation Dba Coastal Kids17742 Beach Blvd Ste 240, Huntington Beach, CA 92647
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0994484

Coastal Kids, A Professional Med Corp Dba - Coastal Kids Newport Beach · Newport Beach, CA
Active · expires Jul 9, 2027
CLIA Number05D0994484
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorDr. Sarah A. Judd
Laboratory Phone(714) 842-0444
Laboratory LocationCoastal Kids, A Professional Med Corp Dba - Coastal Kids Newport Beach2071 San Joaquin Hills Rd, Newport Beach, CA 92660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2025579

Coastal Kids, A Prof Medical Corporation Dba Coastal Kids · Pomona, CA
Active · expires Jun 12, 2027
CLIA Number05D2025579
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorSapna Patel
Laboratory Phone(714) 842-0444
Laboratory LocationCoastal Kids, A Prof Medical Corporation Dba Coastal Kids1920 N Garey Ave, Pomona, CA 91767
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2276838

Coastal Kids, A Prof Med Corp Coastal Kids Irvine Spectrum · Irvine, CA
Active · expires Feb 14, 2027
CLIA Number05D2276838
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorDr. Sarah A. Judd
Laboratory Phone(714) 842-0444
Laboratory LocationCoastal Kids, A Prof Med Corp Coastal Kids Irvine Spectrum114 Pacifica Suite 340, Irvine, CA 92618
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2314162

Coastal Kids, A Prof Medical Corporation Dba Coastal Kids · Upland, CA
Active · expires Nov 13, 2026
CLIA Number05D2314162
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorSapna Patel
Laboratory Phone(714) 842-0444
Laboratory LocationCoastal Kids, A Prof Medical Corporation Dba Coastal Kids1230 E Arrow Hwy, Upland, CA 91786
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0559177

Coastal Kids, A Prof Medical Corporation Dba Coastal Kids · Tarzana, CA
Active · expires Aug 31, 2028
CLIA Number05D0559177
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDr. Connie P. Bartlett
Laboratory Phone(954) 967-6400
Laboratory LocationCoastal Kids, A Prof Medical Corporation Dba Coastal Kids18370 Burbank Blvd, Ste 307, Tarzana, CA 91356
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Pediatrics
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Nurse Practitioner (Pediatrics)
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Physician Assistant (Medical)
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Pediatrics
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Nurse Practitioner
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Physical Medicine & Rehabilitation
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660
Pediatrics
2071 SAN JOAQUIN HILLS RD
NEWPORT BEACH, CA 92660

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 Kids, A Professional Medical Corporation's NPI number?

The NPI number for Coastal Kids, A Professional Medical Corporation is 1740311737. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Coastal Kids.

Where is Coastal Kids, A Professional Medical Corporation located?

Coastal Kids, A Professional Medical Corporation is located at 2071 San Joaquin Hills Rd, Newport Beach, CA 92660. The listed phone number is (949) 759-1720.

What is Coastal Kids, A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Coastal Kids, A Professional Medical Corporation hold CLIA laboratory certificates?

Yes. 21 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Coastal Kids, A Professional Medical Corporation was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.