Coastal Prestige Clinic

Coastal Prestige Clinic is a healthcare organization registered as Obstetrics & Gynecology Physician in Shell Beach, CA, holding Type 2 (organization) NPI 1487254413 since 2020. The authorized official on file is Johnnie Ham, Ceo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1487254413
Entity type	Organization (Type 2)
Legal business name	Coastal Prestige Clinic
Practice address	1677 SHELL BEACH RD, Shell Beach, CA, 93449
Phone	8054162263
Fax	8052019134
Enumeration date	2020-10-28
Last updated in NPPES	2020-10-28

Authorized official

Name	Johnnie Ham
Title	Ceo
Phone	8054162263

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
103TF0000X	Family Psychologist	Secondary	—	—
207QA0401X	Addiction Medicine (Family Medicine) Physician	Secondary	—	—
261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	Secondary	—	—
207V00000X	Obstetrics & Gynecology Physician	Primary	—	—

Copy-ready billing details

Provider: Coastal Prestige Clinic
NPI: 1487254413
Taxonomy: 207V00000X (Obstetrics & Gynecology Physician)
Address: 1677 SHELL BEACH RD, Shell Beach, CA, 93449

Providers at this address

NPI	Name	Type	Specialty	Location
1518101989	Coastal Prestige Medical Services, Inc	Organization	Primary Care Clinic/Center	Shell Beach, CA

Verify this record

Cross-check NPI 1487254413 against the authoritative CMS record: view Coastal Prestige Clinic on the official NPPES registry .

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. Read the full guide or validate an NPI number.

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 2020-10-28. Verify at npiregistry.cms.hhs.gov.

Where is Coastal Prestige Clinic located?

The practice location on file with NPPES is in Shell Beach, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-28.