Coastal Prestige Clinic
NPI 1487254413 · Obstetrics & Gynecology Physician · Shell Beach, CA
Coastal Prestige Clinic is a Obstetrics & Gynecology Physician organization in Shell Beach, CA (NPI 1487254413).
Provider details
- NPI number
- 1487254413
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnnie Ham, Ceo(805) 416-2263
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Psychologist103TF0000X
Behavioral Health & Social Service Providers
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-10-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Frequently asked questions
- What is Coastal Prestige Clinic's NPI number?
- Coastal Prestige Clinic's National Provider Identifier (NPI) is 1487254413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Prestige Clinic?
- Coastal Prestige Clinic is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Prestige Clinic located?
- Coastal Prestige Clinic's practice location on file with NPPES is 1677 Shell Beach Rd, Shell Beach, CA 93449-1927.
- What is Coastal Prestige Clinic's phone number?
- The practice phone number listed in the NPPES registry for Coastal Prestige Clinic is (805) 416-2263.
- Who is the authorized official for Coastal Prestige Clinic?
- The authorized official listed on Coastal Prestige Clinic's NPPES record is Johnnie Ham, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Prestige Clinic's NPI active?
- Yes — Coastal Prestige Clinic's NPI (1487254413) is active in the NPPES registry as of the last update on 2020-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.