COASTAL CARDIOLOGY A MEDICAL CORP NPI 1689836504

NPI Information

NPI: 1689836504
Provider Name: COASTAL CARDIOLOGY A MEDICAL CORP
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
295 POSADA LANE SUITE A
TEMPLETON, CA
ZIP 93465
Phone: (805) 782-8844
Get Directions

COASTAL CARDIOLOGY A MEDICAL CORP is a cardiovascular disease internal medicine in Templeton, 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 1689836504. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

295 POSADA LANE SUITE A
TEMPLETON, CA
ZIP 93465-055
Phone: (805) 782-8844
Fax: (813) 613-2635

The provider's authorized official is Melissa L 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 7/1/2008 and was last updated on 7/9/2022.

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			No
2	363AM0700X	Physician Assistant	Medical	PA23186	CALIFORNIA	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	G58530	CALIFORNIA	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	A99253	CALIFORNIA	No
5	207RI0011X	Internal Medicine	Interventional Cardiology	G69997	CALIFORNIA	No
6	207RC0000X	Internal Medicine	Cardiovascular Disease	G44009	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	GR0068680	MEDICAID	CALIFORNIA
2	ZZZ40450Z	OTHER	CALIFORNIA	BLUE SHIELD
3	CP1074	OTHER	CALIFORNIA	RR MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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