Coastal Community Center Inc
NPI 1295690527ActiveOrganization· Nurse Practitioner, Primary Care· Provo, UT
Nurse Practitioner, Primary Care in Provo, Utah, registered in NPPES in December 2025. The authorized official on file is Ayushmaan Srinivasa, Board Member.
Overview
| NPI | 1295690527 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2025 |
| Last updated in NPPES | Dec 18, 2025 |
| Certified by provider | Dec 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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