FAMILY CARE CENTERS MEDICAL GROUP – NPI #1063820181
Clinic/Center

FAMILY CARE CENTERS MEDICAL GROUP is an AHC clinic located in FOUNTAIN VALLEY, CA. NPPES has assigned the NPI number 1063820181 to FAMILY CARE CENTERS MEDICAL GROUP on August 01, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FAMILY CARE CENTERS MEDICAL GROUP” is a dba name, the actual legal business name for this organization is COASTAL FAMILY MEDICINE, INC. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 2 years ago on Feb 21, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAMILY CARE CENTERS MEDICAL GROUP below.

NPI Profile for
COASTAL FAMILY MEDICINE, INC

NPI Number
1063820181
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COASTAL FAMILY MEDICINE, INC
Doing Business As (dba): FAMILY CARE CENTERS MEDICAL GROUP
Other name(s)
All associated names:
Doing Business As (dba)
Family Care Centers
Doing Business As (dba)
Family Care Centers Medical Group
Primary location
18785 BROOKHURST ST STE 101
FOUNTAIN VALLEY, CA 92708-7300
Phone: (714) 378-0042 Fax: (714) 968-9129
Mailing address
PO BOX 2218
SUISUN CITY, CA 94585-5218
Phone: (657) 241-3600 Fax: (657) 241-7708
Organization Subpart
No
Authorized Official
DAVID KIM
PRESIDENT
Phone: (657) 241-3500
Updated
Certification Date
Feb 21, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FAMILY CARE CENTERS MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE RAILROADCADE5878
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.