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NPI Code Detail

MEDICARE: COASTAL PATHWAYS FOUNDATION

MEDICARE: COASTAL PATHWAYS FOUNDATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1669330981
Entity Type Code : Organization
Provider Name (Legal Business Name) : COASTAL PATHWAYS FOUNDATION
Provider Business Mailing Address
First Line : 2158 BLUESTONE CIR
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-4001
Country : US
Telephone Number : 619-392-4485
Fax Number : 619-392-4485
Provider Business Practice Location Address
First Line : 2158 BLUESTONE CIR
Second Line :
City : CHULA VISTA
State : CA
Zip : 91913-4001
Country : US
Telephone Number : 757-943-6962
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KEYSHIRA MONEE KEELING
Credential :
Telephone Number : 757-943-6962
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “COASTAL PATHWAYS FOUNDATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.