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Coastal Prestige Clinic

Obstetrics & Gynecology Physician in Shell Beach, CA · enumerated 2020 · authorized official Johnnie Ham, Ceo.

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

National Provider Identifier

1487254413

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Prestige Clinic
Practice address 1677 Shell Beach Rd, Shell Beach, CA, 93449
Phone (805) 416-2263
Fax (805) 201-9134
Enumeration date Oct 28, 2020
Last updated in NPPES Oct 28, 2020

Taxonomy & classification

103TF0000X Family Psychologist Behavioral Health & Social Service Providers Secondary
207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Primary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Johnnie Ham
Title Ceo
Phone (805) 416-2263

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 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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-28.