Coastal Community Center Inc
NPI 1295690527 · Primary Care Nurse Practitioner · Provo, UT
Coastal Community Center Inc is a Primary Care Nurse Practitioner organization in Provo, UT (NPI 1295690527).
Provider details
- NPI number
- 1295690527
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ayushmaan Srinivasa, Board Member(702) 809-2505
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-12-18
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Frequently asked questions
- What is Coastal Community Center Inc's NPI number?
- Coastal Community Center Inc's National Provider Identifier (NPI) is 1295690527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Community Center Inc?
- Coastal Community Center Inc is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Coastal Community Center Inc located?
- Coastal Community Center Inc's practice location on file with NPPES is 3650 N University Ave Ste 150, Provo, UT 84604-6636.
- What is Coastal Community Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Coastal Community Center Inc is (702) 809-2505.
- Who is the authorized official for Coastal Community Center Inc?
- The authorized official listed on Coastal Community Center Inc's NPPES record is Ayushmaan Srinivasa, Board Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Community Center Inc's NPI active?
- Yes — Coastal Community Center Inc's NPI (1295690527) is active in the NPPES registry as of the last update on 2025-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.