Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Functional Medicine

Organization Family Medicine Physician · NPI 1487328951

Coastal Functional Medicine is a Family Medicine Physician in Fort Bragg, California. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

17800 Freitas Ln
Fort Bragg, CA 95437-8329
Phone: (707) 440-9898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1487328951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Fleming — Ceo · (707) 440-9898
NPI enumeratedAugust 6, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address17800 Freitas Ln, Fort Bragg, CA 95437-8329

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