COASTAL PODIATRY INC
NPI 1780386813
Podiatrist in Pismo Beach, CA

Active since March 21, 2023
2 JAMES WAY STE 109, PISMO BEACH, CA 93449(805) 773-3668(805) 773-1043 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2023, Mar 21, 2023 (2 updates tracked since 2023).

About Coastal Podiatry Inc NPPES

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

COASTAL PODIATRY INC (NPI 1780386813) is a healthcare organization registered as a podiatrist in Pismo Beach, California and active in the NPI registry since March 2023. The organization lists Richard Jay Norman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1780386813
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameCOASTAL PODIATRY INC
Location Address2 JAMES WAY STE 109Pismo Beach, CA 93449-4974
Mailing Address2 James Way Ste 109Pismo Beach, CA 93449-4974 · (805) 773-3668 · Fax (805) 773-1043
Fax(805) 773-1043
Organization SubpartNo
Authorized OfficialRichard Jay NormanChief Executive Officer · (805) 773-3668
Enumeration DateMarch 21, 2023
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1780386813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2 JAMES WAY STE 109, Pismo Beach, CA 93449

Other Names 1

Doing Business AsCoastal Podiatry Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20240122001936DME · Physician - PodiatryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Coastal Podiatry Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1831119718
2 JAMES WAY STE. 205
Pismo Beach, CA 93449
(805) 773-3668
✔ PECOS✔ Accepts Medicare2.9 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 Podiatry Inc's NPI number?

The NPI number for Coastal Podiatry Inc is 1780386813. It was assigned to this organization in the NPPES registry on March 21, 2023.

Where is Coastal Podiatry Inc located?

Coastal Podiatry Inc is located at 2 James Way Ste 109, Pismo Beach, CA 93449. The listed phone number is (805) 773-3668.

What is Coastal Podiatry Inc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Coastal Podiatry Inc enrolled in Medicare?

Yes. Coastal Podiatry Inc is registered in the Medicare PECOS enrollment system.

When is Coastal Podiatry Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (California, Physician - Podiatry) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Coastal Podiatry Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Coastal Podiatry Inc. 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. 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 Podiatry Inc was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.