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COASTAL CARDIOVASCULAR CARE INC
NPI 1790265445
Internal Medicine - Interventional Cardiology in Encinitas, CA

Active since August 21, 2018
700 GARDEN VIEW CT STE 204, ENCINITAS, CA 92024(760) 452-6334(760) 634-9755 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 29, 2019, Aug 21, 2018 (2 updates tracked since 2018).

About Coastal Cardiovascular Care Inc NPPES

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

COASTAL CARDIOVASCULAR CARE INC (NPI 1790265445) is a healthcare organization registered as an interventional cardiology in Encinitas, California and active in the NPI registry since August 2018. The organization lists Salman Mehboob, Owner, as its authorized official.

NPPES Registry Identity

NPI1790265445
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameCOASTAL CARDIOVASCULAR CARE INC
Location Address700 GARDEN VIEW CT STE 204Encinitas, CA 92024-2478
Mailing Address477 N El Camino Real Ste C204Encinitas, CA 92024-1332 · (760) 230-2256 · Fax (760) 452-2664
Phone(760) 452-6334
Fax(760) 634-9755
Organization SubpartNo
Authorized OfficialSalman MehboobOwner · (607) 452-6334
Enumeration DateAugust 21, 2018
Last NPPES UpdateOctober 29, 20192 updates tracked since enumeration
✔ NPI 1790265445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in CA · A119955
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
700 GARDEN VIEW CT STE 204, Encinitas, CA 92024
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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

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 Cardiovascular Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Coastal Cardiovascular Care Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Richard Jacoby, MD
Interventional Cardiology
NPI 1053353029
700 GARDEN VIEW CT STE 204
Encinitas, CA 92024
(760) 452-6334
✔ PECOSSame address
Salman Mehboob, M.D.
Cardiovascular Disease (Cardiology)
NPI 1497841795
700 GARDEN VIEW CT STE 204
Encinitas, CA 92024
(760) 452-6334
✔ PECOSSame address
Brittany Mattia, FNP-C
Nurse Practitioner
NPI 1891642237
700 GARDEN VIEW CT STE 204
Encinitas, CA 92024
(760) 452-6334
✔ PECOSSame address
Katherine Moreno, ARNP
Nurse Practitioner
NPI 1346527066
700 GARDEN VIEW CT STE 204
Encinitas, CA 92024
(402) 844-8284
✔ PECOSSame address
Kellie Rolph, N. P.
Nurse Practitioner
NPI 1649571720
10666 N TORREY PINES RD
La Jolla, CA 92037
(858) 554-8506
✔ PECOS11 mi
Charles Wright, M.D.
Cardiovascular Disease (Cardiology)
NPI 1104861459
9850 GENESEE AVE SUITE 780
La Jolla, CA 92037
(858) 450-3388
✔ PECOS12 mi
Stephanie Carter, M.D.
Cardiovascular Disease (Cardiology)
NPI 1497997407
333 SE 7TH AVE STE 5400
Hillsboro, OR 97123
(503) 648-0731
✔ PECOS912 mi
Frederick Yturralde, M.D.
Interventional Cardiology
NPI 1134186372
3340 TAMIAMI TRL
Port Charlotte, FL 33952
(941) 764-5858
✔ PECOS✔ Accepts Medicare2,139 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 Cardiovascular Care Inc's NPI number?

The NPI number for Coastal Cardiovascular Care Inc is 1790265445. It was assigned to this organization in the NPPES registry on August 21, 2018.

Where is Coastal Cardiovascular Care Inc located?

Coastal Cardiovascular Care Inc is located at 700 Garden View Ct Ste 204, Encinitas, CA 92024. The listed phone number is (760) 452-6334.

What is Coastal Cardiovascular Care Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Coastal Cardiovascular Care Inc enrolled in Medicare?

Yes. Coastal Cardiovascular Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Cardiovascular Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Coastal Cardiovascular Care Inc. 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) (3), Nurse Practitioner (3) and Interventional Cardiology (2). Of these, 4 practice at this address. 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 Cardiovascular Care Inc was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.