COASTAL CARDIOLOGY A MEDICAL CORP NPI 1619127693

NPI Information

NPI: 1619127693
Provider Name: COASTAL CARDIOLOGY A MEDICAL CORP

Doing Business As: COASTAL CARDIOLOGY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
345 S HALCYON RD
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 782-8844
Get Directions

COASTAL CARDIOLOGY A MEDICAL CORP is a cardiovascular disease internal medicine in Arroyo Grande, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. COASTAL CARDIOLOGY A MEDICAL CORP NPI is 1619127693. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coastal Cardiology.

The provider's business location address is:

345 S HALCYON RD
ARROYO GRANDE, CA
ZIP 93420
Phone: (805) 782-8844

The provider's authorized official is Melissa Goss .
The authorized official title is Coo/practice Administrator and has the following contact phone number (805) 782-8844.

The enumeration date for this NPI number is 9/25/2008 and was last updated on 11/25/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	174400000X	Specialist		No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes
3	207RI0011X	Internal Medicine	Interventional Cardiology	No
4	207U00000X	Nuclear Medicine		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CP1074	OTHER		RR MEDICARE
2	GR0068680	MEDICAID	CALIFORNIA
3	ZZZ24859Z	OTHER	CALIFORNIA	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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