CALIFORNIA COAST CARDIOVASCULAR, PC – NPI #1497615769
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

CALIFORNIA COAST CARDIOVASCULAR, PC is a provider located in SAN DIEGO, CA. NPPES has assigned the NPI number 1497615769 to CALIFORNIA COAST CARDIOVASCULAR, PC on November 17, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was last updated on Apr 09, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CALIFORNIA COAST CARDIOVASCULAR, PC below.

NPI Profile for
CALIFORNIA COAST CARDIOVASCULAR, PC

NPI Number
1497615769
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CALIFORNIA COAST CARDIOVASCULAR, PC
Primary location
4060 FOURTH AVE STE 500
SAN DIEGO, CA 92103-2121
Phone: (310) 897-6940 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICOLE HERRICK
OWNER
Phone: (310) 897-6940
Updated
Certification Date
Apr 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.