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Coast Medical, PC

Q: What type of organization is Coast Medical, PC?

Coast Medical, PC is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).

Psychiatry Physician in Anaheim, CA · enumerated 2024 · authorized official Jackson Tea, Vp/Board of Director.

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

National Provider Identifier

1780435628

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Registry record

Entity type Organization (Type 2)

Legal business name Coast Medical, PC

Other name <Unavail>

Practice address 1720 W Ball Rd Ste 4c, Anaheim, CA, 92804

Phone (626) 429-0088

Enumeration date Mar 28, 2024

Last updated in NPPES Mar 3, 2026

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jackson Tea

Title Vp/Board of Director

Phone (626) 429-0088

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Coast Medical, PC?

Coast Medical, PC is registered in NPPES as a Psychiatry Physician (its primary provider taxonomy).

Providers at this address

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Vivienne Peng Psychiatric/Mental Health Nurse Practitioner · Anaheim, CA NPI 1952802803 Rainbow Tarumoto Psychiatric/Mental Health Nurse Practitioner · Anaheim, CA NPI 1073002440 Mina Cheriki Psychiatric/Mental Health Nurse Practitioner · Anaheim, CA NPI 1033803176 Richard Samedra Psychiatric/Mental Health Nurse Practitioner · Anaheim, CA NPI 1093561904 Jackson Tea Psychiatric/Mental Health Nurse Practitioner · Anaheim, CA NPI 1477365997 Dennis Ly Psychiatric/Mental Health Nurse Practitioner · Anaheim, CA NPI 1366248742 Sara Equihua Psychiatric/Mental Health Nurse Practitioner · Anaheim, CA NPI 1225987308

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-03.