OrganizationActive
Coastal Pediatrics Medical Group
NPI 1528193109 · Pediatric Adolescent Medicine Physician · Oxnard, CA
Provider details
- NPI number
- 1528193109
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lori Bohannan, Practice Manager(805) 983-3900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
451 W Gonzales Rd
Ste 340
Oxnard, CA 93036-9004
Phone: (805) 983-3900
Fax: (805) 983-3887
Street-level locationGet directions
Mailing address
451 W Gonzales Rd
Oxnard, CA 93036-9004
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.