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COASTAL VILLAGE PRIMARY, INC
NPI 1396080511
Family Medicine in Pismo Beach, CA

Active since November 28, 2012
2 JAMES WAY, SUITE 209, PISMO BEACH, CA 93449(805) 773-7440(805) 773-7448 Get Directions Write a Review

NPPES record last updated: November 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Village Primary, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL VILLAGE PRIMARY, INC (NPI 1396080511) is a healthcare organization registered as a family medicine in Pismo Beach, California and active in the NPI registry since November 2012. The organization lists Joseph A Cruz, President/owner, as its authorized official.

NPPES Registry Identity

NPI1396080511
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL VILLAGE PRIMARY, INC
Location Address2 JAMES WAY, SUITE 209Pismo Beach, CA 93449-4973
Mailing Address2 James Way, Suite 209Pismo Beach, CA 93449-4973 · (805) 773-7440 · Fax (805) 773-7448
Phone(805) 773-7440
Fax(805) 773-7448
Organization SubpartNo
Authorized OfficialJoseph A CruzPresident/owner · (805) 773-7440
Enumeration DateNovember 28, 2012
✔ NPI 1396080511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A49080
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2 JAMES WAY, Pismo Beach, CA 93449
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL VILLAGE PRIMARY CARE, A MEDICAL GROUP
Family Medicine
2 JAMES WAY, STE 209
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-7440
MARC W. WEISE, M.D., INC.
Orthopaedic Surgery
2 JAMES WAY, SUITE 115
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-2650
IRMA DEL CARMEN PEREZ MARTINEZ DMD, MS
Dentist (Pediatric Dentistry)
2 JAMES WAY, SUITE 201
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-1600
MS. KENDRA JOELLE JAMES NP-C, AGACNP-BC
Nurse Practitioner
2 JAMES WAY
PISMO BEACH, CA 93449
San Luis Obispo County (805) 295-6594
PAUL T STALLMAN MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
2 JAMES WAY, SUITE 203
PISMO BEACH, CA 93449
San Luis Obispo County (805) 481-3733
COASTAL PODIATRY CLINIC
Podiatrist (Foot Surgery)
2 JAMES WAY, SUITE 205
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-3668
ANN LOUISE MCNEIL NP
Nurse Practitioner (Family)
2 JAMES WAY, SUITE 209
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-7440
GIANCARLO A. LAURIENTE, DDS, INC.
Dentist (Pediatric Dentistry)
2 JAMES WAY, SUITE 201
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Village Primary, Inc's NPI number?

The NPI number for Coastal Village Primary, Inc is 1396080511. It was assigned to this organization in the NPPES registry on November 28, 2012.

Where is Coastal Village Primary, Inc located?

Coastal Village Primary, Inc is located at 2 James Way Suite 209, Pismo Beach, CA 93449. The listed phone number is (805) 773-7440.

What is Coastal Village Primary, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Coastal Village Primary, Inc was last updated on November 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.