COASTAL PRESTIGE CLINIC
NPI 1487254413
Obstetrics & Gynecology in Shell Beach, CA

NPI Status: Active since October 28, 2020

Contact Information

1677 SHELL BEACH RD
SHELL BEACH, CA
ZIP 93449
Phone: (805) 416-2263
Fax: (805) 201-9134

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  • Organization
  • Obstetrics & Gynecology

About COASTAL PRESTIGE CLINIC

This page provides the complete NPI Profile along with additional information for Coastal Prestige Clinic, a women's health care provider established in Shell Beach, California operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1487254413 assigned on October 2020. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Coastal Prestige Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Johnnie Ham Md (Ceo)

NPI
1487254413
Provider Name
COASTAL PRESTIGE CLINIC
Entity Type
Organization
Location Address
1677 SHELL BEACH RD SHELL BEACH, CA 93449
Location Phone
(805) 416-2263
Location Fax
(805) 201-9134
Mailing Address
1677 SHELL BEACH RD SHELL BEACH, CA 93449
Mailing Phone
(805) 416-2263
Mailing Fax
(805) 201-9134
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-28-2020
Last Update Date
10-28-2020
Code Navigator

Women's health care providers like Coastal Prestige Clinic treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TF0000XBehavioral Health & Social Service Providers

Psychologist
Family

 
2207QA0401XAllopathic & Osteopathic Physicians

Family Medicine
Addiction Medicine

 
3261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHNNIE HAM MD

Authorized Official Title
CEO
Authorized Official Phone
(805) 416-2263

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487254413
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2416745842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 4 + 5 + 8 + 4 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1487254413 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518101989COASTAL PRESTIGE MEDICAL SERVICES, INC
Organization
Clinic/Center (Primary Care)1677 SHELL BEACH RD
SHELL BEACH, CA 93449
(805) 201-9135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487254413, enumerated in the NPI registry as an "organization" on October 28, 2020

The provider is located at 1677 Shell Beach Rd Shell Beach, Ca 93449 and the phone number is (805) 416-2263

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X

This NPI record was last updated on October 28, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.