COASTAL CARDIOLOGY A MEDICAL CORP – NPI #1720183569
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.
COASTAL CARDIOLOGY A MEDICAL CORP is a provider located in SAN LUIS OBISPO, CA. NPPES has assigned the NPI number 1720183569 to COASTAL CARDIOLOGY A MEDICAL CORP on September 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 Sep 09, 2025. 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 COASTAL CARDIOLOGY A MEDICAL CORP below.
NPI Profile for
COASTAL CARDIOLOGY A MEDICAL CORP
(more than 19 years ago)
SAN LUIS OBISPO, CA 93401-4154 Phone: (805) 782-8844 Fax: (813) 613-2634
SAN LUIS OBISPO, CA 93406-2003 Phone: (805) 782-8844 Fax: (805) 540-5881
OPERATIONS MANAGER
Phone: (805) 782-8844
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Identifiers for COASTAL CARDIOLOGY A MEDICAL CORP
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BLUE SHIELD | CA | ZZZ24859Z |
| other | MEDICARE RR | CP1074 | |
| medicaid | CA | GR0068680 |
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) |
||
| 363AM0700X - Physician Assistant / Medical |
CA | PA23186 |
| 207RI0011X - Internal Medicine / Interventional Cardiology |
CA | A63687 |
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.