PACIFIC COASTAL MEDICAL GROUP PROFESSIONAL CORPORATION
NPI 1679459077
Internal Medicine in San Marcos, CA

Active since August 12, 2025
960 W SAN MARCOS BLVD STE 210, SAN MARCOS, CA 92078(760) 290-4309 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pacific Coastal Medical Group Professional Corporation NPPES

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

PACIFIC COASTAL MEDICAL GROUP PROFESSIONAL CORPORATION (NPI 1679459077) is a healthcare organization registered as an internal medicine in San Marcos, California and active in the NPI registry since August 2025. The organization lists Deanna Oliver, Owner, as its authorized official.

NPPES Registry Identity

NPI1679459077
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePACIFIC COASTAL MEDICAL GROUP PROFESSIONAL CORPORATION
Location Address960 W SAN MARCOS BLVD STE 210San Marcos, CA 92078-1147
Mailing Address2604b El Camino Real Unit 340Carlsbad, CA 92008-1214 · (760) 290-4309
Organization SubpartNo
Authorized OfficialDeanna OliverOwner · (760) 290-4309
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1679459077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
960 W SAN MARCOS BLVD STE 210, San Marcos, CA 92078

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Coastal Medical Group Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pacific Coastal Medical Group Professional Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1750725362
10737 CAMINO RUIZ
San Diego, CA 92126
(844) 200-2426
✔ PECOS✔ Accepts Medicare15 mi
Internal Medicine
NPI 1235405655
402 W BROADWAY STE 400
San Diego, CA 92101
(559) 898-2244
✔ PECOS✔ Accepts Medicare29 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 Pacific Coastal Medical Group Professional Corporation's NPI number?

The NPI number for Pacific Coastal Medical Group Professional Corporation is 1679459077. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Pacific Coastal Medical Group Professional Corporation located?

Pacific Coastal Medical Group Professional Corporation is located at 960 W San Marcos Blvd Ste 210, San Marcos, CA 92078. The listed phone number is (760) 290-4309.

What is Pacific Coastal Medical Group Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pacific Coastal Medical Group Professional Corporation enrolled in Medicare?

Yes. Pacific Coastal Medical Group Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Coastal Medical Group Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Pacific Coastal Medical Group Professional Corporation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific Coastal Medical Group Professional Corporation was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.