COASTSIDE FAMILY MEDICAL CLINIC, INC – Family Medicine Physician, NPI 1508916628

COASTSIDE FAMILY MEDICAL CLINIC, INC is a healthcare provider. based in Half moon bay, California. specializing in Family Medicine Physician. The NPI Number for COASTSIDE FAMILY MEDICAL CLINIC, INC is 1508916628

Main info

Organization
Name
COASTSIDE FAMILY MEDICAL CLINIC, INC
NPI
1508916628
Phone
(650) 712-7330
Address
225 CABRILLO HWY S STE 100A
Authorized Official
MR. ROBERT V HARLESS CHIEF EXECUTIVE OFFICER
Enumeration Date
11 January 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for COASTSIDE FAMILY MEDICAL CLINIC, INC

  • 225 CABRILLO HWY S STE 100A

    HALF MOON BAY, CA 940191738

    Phone: (650) 712-7330

    Fax: (650) 726-9317

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94019)

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Reviews

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Frequently asked questions

Where can patients find COASTSIDE FAMILY MEDICAL CLINIC, INC's NPI?
You can confirm COASTSIDE FAMILY MEDICAL CLINIC, INC with NPI 1508916628; it appears in the national provider directory.
Is COASTSIDE FAMILY MEDICAL CLINIC, INC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is COASTSIDE FAMILY MEDICAL CLINIC, INC?
The page reflects Family Medicine Physician for COASTSIDE FAMILY MEDICAL CLINIC, INC. Clinical services aligned with this taxonomy classification.
Where does public data place COASTSIDE FAMILY MEDICAL CLINIC, INC?
The snapshot lists Half Moon Bay, California for COASTSIDE FAMILY MEDICAL CLINIC, INC; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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