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Coastal Community Center Inc

Primary Care Nurse Practitioner in Provo, UT · enumerated 2025 · authorized official Ayushmaan Srinivasa, Board Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295690527

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Community Center Inc
Practice address 3650 N University Ave Ste 150, Provo, UT, 84604
Phone (702) 809-2505
Enumeration date Dec 18, 2025
Last updated in NPPES Dec 18, 2025

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Ayushmaan Srinivasa
Title Board Member
Phone (702) 809-2505

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-12-18. Verify at npiregistry.cms.hhs.gov.
Where is Coastal Community Center Inc located?
The practice location on file with NPPES is in Provo, UT.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-18.