COASTAL CARDIOLOGY A MEDICAL CORP
NPI 1720183569
Internal Medicine - Cardiovascular Disease in San Luis Obispo, CA

Q: What is Coastal Cardiology A Medical Corp's NPI number?

The NPI number for Coastal Cardiology A Medical Corp is 1720183569. It was assigned to this organization in the NPPES registry on September 14, 2006.

Q: 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.

Active since September 14, 2006

1941 JOHNSON AVE STE 101, SAN LUIS OBISPO, CA 93401(805) 782-8844(813) 613-2634 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2025, Jul 9, 2022, Jun 7, 2021 and 2 more (5 updates tracked since 2018).

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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 1720183569) is a healthcare organization registered as a cardiovascular disease in San Luis Obispo, California and active in the NPI registry since September 2006. The organization lists Marissa Famularo, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1720183569

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameCOASTAL CARDIOLOGY A MEDICAL CORP

Location Address1941 JOHNSON AVE STE 101San Luis Obispo, CA 93401-4154

Mailing AddressPo Box 12003San Luis Obispo, CA 93406-2003 · (805) 782-8844 · Fax (805) 540-5881

Phone(805) 782-8844

Fax(813) 613-2634

Organization SubpartNo

Authorized OfficialMarissa FamularoOperations Manager · (805) 782-8844

Enumeration DateSeptember 14, 2006

Last NPPES UpdateSeptember 9, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1720183569 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 A63687 (CA)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA23186 (CA)

Other Identifiers 3

OtherCP1074Medicare Rr

OtherZZZ24859ZCA · Blue Shield

MedicaidGR0068680CA

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

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.

KELLAN KALBAUGH PA-C

Physician Assistant (Medical)