Coastal Vascular Medicine Inc
NPI 1104234194 · Clinic/Center · Newport Beach, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coastal Vascular Medicine Inc is a Clinic/Center organization in Newport Beach, CA (NPI 1104234194).
Provider details
- NPI number
- 1104234194
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ehab Mady, Owner(949) 631-6002
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Specialist174400000X
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-07-23
- Last updated
- 2025-02-20
- Certified
- 2025-02-20
Frequently asked questions
- What is Coastal Vascular Medicine Inc's NPI number?
- Coastal Vascular Medicine Inc's National Provider Identifier (NPI) is 1104234194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Vascular Medicine Inc?
- Coastal Vascular Medicine Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Vascular Medicine Inc located?
- Coastal Vascular Medicine Inc's practice location on file with NPPES is 320 Superior Ave Ste 250, Newport Beach, CA 92663-2778.
- What is Coastal Vascular Medicine Inc's phone number?
- The practice phone number listed in the NPPES registry for Coastal Vascular Medicine Inc is (949) 631-6002.
- Does Coastal Vascular Medicine Inc accept Medicare?
- Coastal Vascular Medicine Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coastal Vascular Medicine Inc?
- The authorized official listed on Coastal Vascular Medicine Inc's NPPES record is Ehab Mady, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Vascular Medicine Inc's NPI active?
- Yes — Coastal Vascular Medicine Inc's NPI (1104234194) is active in the NPPES registry as of the last update on 2025-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.