MIDCOAST CARDIOVASCULAR ASSOCIATES NPI 1659652303

NPI Information

NPI: 1659652303
Provider Name: MIDCOAST CARDIOVASCULAR ASSOCIATES
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

CLIA Number: 05D2043749

Address:
220 S PALISADE DR
SUITE # 101
SANTA MARIA, CA
ZIP 93454
Phone: (805) 354-0112
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MIDCOAST CARDIOVASCULAR ASSOCIATES is an interventional cardiology internal medicine in Santa Maria, CA. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. MIDCOAST CARDIOVASCULAR ASSOCIATES NPI is 1659652303. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

220 S PALISADE DR
SUITE # 101
SANTA MARIA, CA
ZIP 93454-902
Phone: (805) 354-0112
Fax: (805) 354-0234

The provider's authorized official is Mark L Ginkel .
The authorized official title is President and has the following contact phone number (805) 354-0112.

The CLIA number assigned to this NPI record is 05D2043749 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2011 and was last updated on 3/1/2016.

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	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	G71322	CALIFORNIA	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	G71322	CALIFORNIA	Yes

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	ZZZ68791Y	OTHER	CALIFORNIA	BLUE SHIELD PIN
2	FM385A	OTHER	CALIFORNIA	MEDICARE PTAN

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

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