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COASTAL CARDIOLOGY A MEDICAL CORP
NPI 1578725495
Internal Medicine - Cardiovascular Disease in Arroyo Grande, CA

Active since July 01, 2008
310 SOUTH HALCYON ROAD STE 105, ARROYO GRANDE, CA 93420(805) 782-8844(813) 613-2632 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, Jul 9, 2022, Nov 2, 2021 and 3 more (6 updates tracked since 2018).

About Coastal Cardiology A Medical Corp NPPES

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

COASTAL CARDIOLOGY A MEDICAL CORP (NPI 1578725495) is a healthcare organization registered as a cardiovascular disease in Arroyo Grande, California and active in the NPI registry since July 2008. The organization lists Marissa Famularo, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1578725495
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCOASTAL CARDIOLOGY A MEDICAL CORP
Location Address310 SOUTH HALCYON ROAD STE 105Arroyo Grande, CA 93420-3872
Mailing AddressPo Box 12003San Luis Obispo, CA 93406-2003 · (805) 782-8844 · Fax (805) 540-5881
Phone(805) 782-8844
Fax(813) 613-2632
Organization SubpartNo
Authorized OfficialMarissa FamularoOperations Manager · (805) 782-8844
Enumeration DateJuly 1, 2008
Last NPPES UpdateSeptember 9, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1578725495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
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.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License A114658 (CA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA23186 (CA)
310 SOUTH HALCYON ROAD STE 105, Arroyo Grande, CA 93420
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Other Identifiers 2

MedicaidGR0068680CA
OtherZZZ24859ZCA · Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coastal Cardiology A Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Coastal Cardiology A Medical Corp, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Robert Doria, MD, FACC
Interventional Cardiology
NPI 1376521005
1941 JOHNSON AVE # 101
San Luis Obispo, CA 93401
(805) 782-8844
✔ PECOS✔ Accepts Medicare12 mi
Lorianna Fletcher, MD, FACC
Cardiovascular Disease (Cardiology)
NPI 1497715023
1941 JOHNSON AVE # 101
San Luis Obispo, CA 93401
(805) 782-8844
✔ PECOS✔ Accepts Medicare12 mi
Megan Hansen, AGACNP
Nurse Practitioner
NPI 1306498464
1941 JOHNSON AVE STE 101
San Luis Obispo, CA 93401
(805) 782-8844
✔ PECOS✔ Accepts Medicare12 mi
Adam Niku, MD
Cardiovascular Disease (Cardiology)
NPI 1760837447
1941 JOHNSON AVE STE 101
San Luis Obispo, CA 93401
(805) 782-8844
✔ PECOS✔ Accepts Medicare12 mi
Mark Sada, MD, FACC
Interventional Cardiology
NPI 1639157282
1941 JOHNSON AVE STE 101
San Luis Obispo, CA 93401
(805) 782-8844
✔ PECOS✔ Accepts Medicare12 mi
Mohammad Hashmi, D.O
Internal Medicine
NPI 1770014201
1941 JOHNSON AVE STE 102
San Luis Obispo, CA 93401
(805) 782-8844
✔ PECOS✔ Accepts Medicare12 mi
Armin Bandari, MD, FACC
Cardiovascular Disease (Cardiology)
NPI 1679750574
1370 CHORRO ST
San Luis Obispo, CA 93401
(805) 329-6762
✔ PECOS✔ Accepts Medicare12 mi
Andrew Dennish, MD, FACC
Cardiovascular Disease (Cardiology)
NPI 1013085810
295 POSADA LN SUITE A
Templeton, CA 93465
(805) 782-8844
✔ PECOS✔ Accepts Medicare31 mi
Michael Wiechmann, MD, FACC
Cardiovascular Disease (Cardiology)
NPI 1104805837
295 POSADA LN STE A
Templeton, CA 93465
(805) 782-8844
✔ PECOS✔ Accepts Medicare31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cardiology A Medical Corp's NPI number?

The NPI number for Coastal Cardiology A Medical Corp is 1578725495. It was assigned to this organization in the NPPES registry on July 1, 2008.

Where is Coastal Cardiology A Medical Corp located?

Coastal Cardiology A Medical Corp is located at 310 South Halcyon Road Ste 105, Arroyo Grande, CA 93420. The listed phone number is (805) 782-8844.

What is Coastal Cardiology A Medical Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Coastal Cardiology A Medical Corp enrolled in Medicare?

Yes. Coastal Cardiology A Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Cardiology A Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Coastal Cardiology A Medical Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (5), Interventional Cardiology (2) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Cardiology A Medical Corp was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.