COASTAL HEART, INC – NPI #1881612828
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

COASTAL HEART, INC is a provider located in SANTA ANA, CA. NPPES has assigned the NPI number 1881612828 to COASTAL HEART, INC on July 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. COASTAL HEART, INC is also known by the name COASTAL HEART INC. This provider is also associated with 2 additional names listed below. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. 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 previously updated about 6 years ago on May 19, 2020. 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 HEART, INC below.

NPI Profile for
COASTAL HEART, INC

NPI Number
1881612828
Enumeration Date

(about 20 years 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
COASTAL HEART, INC
Other Name: COASTAL HEART INC
Other name(s)
All associated names:
Other Name
COASTAL HEART INC
Doing Business As (dba)
Coastal Heart Medical Group
Primary location
2621 S BRISTOL ST STE 108
SANTA ANA, CA 92704-5718
Phone: (714) 754-1684 Fax: (714) 966-0417
2 Other location(s):
11760 Central Ave Ste 204
Chino, CA 91710-1909
Phone: (714) 754-1684
2621 S Bristol St Ste 105
Santa Ana, CA 92704-5718
Phone: (714) 754-1684
Fax: (714) 966-0417
Mailing address
2621 S BRISTOL ST
SUITE 108
SANTA ANA, CA 92704-5718
Phone: (714) 754-1684 Fax: (714) 966-0417
Organization Subpart
No
Authorized Official
REBECA HERNANDEZ
ADMINISTRATOR
Phone: (714) 754-1684
Updated
Certification Date
May 19, 2020

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.

Identifiers

Identifiers for COASTAL HEART, INC

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.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0093900
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)
261QM1300X
- Clinic/Center / Multi-Specialty
207RC0001X
- Internal Medicine / Clinical Cardiac Electrophysiology

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.