Coastal Cardiology A Medical Corp, NPI 1689836504
Cardiovascular Disease Physician in Templeton, CA, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1689836504 |
| NPI Entity Type | Organization |
| Provider Name | Coastal Cardiology A Medical Corp |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 295 Posada Lane Suite A, Templeton, CA, US |
| Provider Mailing Address | 1941 Johnson Ave Ste 101, San Luis Obispo, CA, US, 934014154 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. MHA Melissa L Goss |
| Official Position | COO/PRACTICE ADMINISTRATOR |
| Phone | 805-782-8844 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Cardiovascular Disease Physician |
| Classification | |
| Group | |
| License No. | G44009 |
| License State | CA |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| PA23186 | CA | No | |||
| G58530 | CA | No | |||
| A99253 | CA | No | |||
| G69997 | CA | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| GR0068680 | CA | MEDICAID | 05 |
| CP1074 | CA | RR MEDICARE | 01 |
| ZZZ40450Z | CA | BLUE SHIELD | 01 |
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