PACIFIC COASTAL MEDICAL GROUP PROFESSIONAL CORPORATION
NPI 1679459077
Internal Medicine in San Marcos, CA
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
Specialties & Licenses
Group Practice 1
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
2Medicare 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)
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.