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COASTLINE SURGERY CENTER INC.
NPI 1790916096
Clinic/Center - Ambulatory Surgical in Santa Ana, CA

Active since August 04, 2009CLIA 05D2007848 · Waiver
3200 S BRISTOL ST, SANTA ANA, CA 92704(714) 641-1111(714) 641-0611 Get Directions Write a Review

NPPES record last updated: May 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastline Surgery Center Inc. NPPES

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

COASTLINE SURGERY CENTER INC. (NPI 1790916096) is a healthcare organization registered as an ambulatory surgical in Santa Ana, California and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through May 26, 2028 and lists Atef E Rafla, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790916096
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOASTLINE SURGERY CENTER INC.
Location Address3200 S BRISTOL STSanta Ana, CA 92704-6711
Mailing Address3200 S Bristol StSanta Ana, CA 92704-6711 · (714) 641-1111 · Fax (714) 641-0611
Phone(714) 641-1111
Fax(714) 641-0611
Organization SubpartNo
Authorized OfficialAtef E RaflaMedical Director · (714) 655-1911
Enumeration DateAugust 4, 2009
Last NPPES UpdateMay 25, 2010
✔ NPI 1790916096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3200 S BRISTOL ST, Santa Ana, CA 92704
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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 05D2007848

Coastline Surgery Center · Santa Ana, CA
Active · expires May 26, 2028
CLIA Number05D2007848
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorAtef Rafla
Laboratory Phone(714) 641-1111
Laboratory LocationCoastline Surgery Center3200 S Bristol Street, Santa Ana, CA 92704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Surgery Center Inc.'s NPI number?

The NPI number for Coastline Surgery Center Inc. is 1790916096. It was assigned to this organization in the NPPES registry on August 4, 2009.

Where is Coastline Surgery Center Inc. located?

Coastline Surgery Center Inc. is located at 3200 S Bristol St, Santa Ana, CA 92704. The listed phone number is (714) 641-1111.

What is Coastline Surgery Center Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Coastline Surgery Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2007848) is associated with this NPI, valid through May 26, 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 Coastline Surgery Center Inc. was last updated on May 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.