Coastal Prestige Medical Services, Inc
NPI 1518101989 · Primary Care Clinic/Center · Shell Beach, CA
Coastal Prestige Medical Services, Inc is a Primary Care Clinic/Center organization in Shell Beach, CA (NPI 1518101989).
Provider details
- NPI number
- 1518101989
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Johnnie Ham, Ceo(805) 201-9135
- License
- A90443 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-04-28
- Last updated
- 2020-03-12
- Certified
- 2020-03-12
Frequently asked questions
- What is Coastal Prestige Medical Services, Inc's NPI number?
- Coastal Prestige Medical Services, Inc's National Provider Identifier (NPI) is 1518101989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Prestige Medical Services, Inc?
- Coastal Prestige Medical Services, Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Prestige Medical Services, Inc located?
- Coastal Prestige Medical Services, Inc's practice location on file with NPPES is 1677 Shell Beach Rd, Shell Beach, CA 93449-1927.
- What is Coastal Prestige Medical Services, Inc's phone number?
- The practice phone number listed in the NPPES registry for Coastal Prestige Medical Services, Inc is (805) 201-9135.
- Who is the authorized official for Coastal Prestige Medical Services, Inc?
- The authorized official listed on Coastal Prestige Medical Services, Inc'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 Medical Services, Inc's NPI active?
- Yes — Coastal Prestige Medical Services, Inc's NPI (1518101989) is active in the NPPES registry as of the last update on 2020-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.