COASTAL CHILDREN'S CLINIC PA – NPI #1164471116
Pediatrics

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.

COASTAL CHILDREN'S CLINIC PA is a provider located in CORPUS CHRISTI, TX. NPPES has assigned the NPI number 1164471116 to COASTAL CHILDREN'S CLINIC PA on May 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Nov 07, 2025. 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 COASTAL CHILDREN'S CLINIC PA below.

NPI Profile for
COASTAL CHILDREN'S CLINIC PA

NPI Number
1164471116
Enumeration Date

(more than 20 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 CHILDREN'S CLINIC PA
Primary location
3435 S ALAMEDA ST
CORPUS CHRISTI, TX 78411-1728
Phone: (361) 855-7346 Fax: (361) 855-4201
3 Other location(s):
13725 Northwest Blvd Ste 150
Corpus Christi, TX 78410-5123
Phone: (361) 241-9541
Fax: (361) 767-0095
5945 Saratoga Blvd
Corpus Christi, TX 78414-4225
Phone: (361) 992-6458
Fax: (361) 992-6479
1830 Billy G Webb
Portland, TX 78374-3707
Phone: (361) 643-2518
Fax: (361) 643-2629
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALI CANDAS
PRESIDENT
Phone: (361) 855-7346
Updated
Certification Date
Nov 07, 2025

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 COASTAL CHILDREN'S CLINIC PA

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
medicaidTX084253601
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.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

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.