COASTAL HEART INC
NPI 1881612828
Internal Medicine - Cardiovascular Disease in Santa Ana, CA

Active since July 17, 2006
2621 S BRISTOL ST STE 108, SANTA ANA, CA 92704(714) 754-1684(714) 966-0417 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 19, 2020, Jan 29, 2019 (2 updates tracked since 2019).

About Coastal Heart Inc NPPES

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

COASTAL HEART INC (NPI 1881612828), doing business as Coastal Heart Medical Group, is a healthcare organization registered as a cardiovascular disease in Santa Ana, California and active in the NPI registry since July 2006. The organization maintains 2 additional practice locations and lists Rebeca E Hernandez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1881612828
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCOASTAL HEART, INC
Location Address2621 S BRISTOL ST STE 108Santa Ana, CA 92704-5718
Mailing Address2621 S Bristol St, Suite 108Santa Ana, CA 92704-5718 · (714) 754-1684 · Fax (714) 966-0417
Fax(714) 966-0417
Organization SubpartNo
Authorized OfficialRebeca E HernandezAdministrator · (714) 754-1684
Enumeration DateJuly 17, 2006
Last NPPES UpdateMay 19, 20202 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
✔ NPI 1881612828 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 ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2621 S BRISTOL ST STE 108, Santa Ana, CA 92704

Other Names 2

Other NameCoastal Heart Inc
Doing Business AsCoastal Heart Medical Group

Secondary Practice Locations 2

Location 12621 S Bristol St Ste 105Santa Ana, CA 92704-5718 · Phone (714) 754-1684 · Fax (714) 966-0417
Location 211760 Central Ave Ste 204Chino, CA 91710-1909 · Phone (714) 754-1684

Other Identifiers 1

MedicaidGR0093900CA

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Coastal Heart Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Cardiovascular Disease (Cardiology)
NPI 1619997368
2621 S BRISTOL ST #108
Santa Ana, CA 92704
(714) 754-1684
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1538288311
2720 N HARBOR BLVD STE 140
Fullerton, CA 92835
(657) 566-8800
✔ PECOS✔ Accepts Medicare13 mi
Nephrology
NPI 1508026386
3660 PARK SIERRA DR STE 208
Riverside, CA 92505
(909) 882-9150
✔ PECOS✔ Accepts Medicare27 mi
Cardiovascular Disease (Cardiology)
NPI 1548311814
1500 DUARTE RD
Duarte, CA 91010
(626) 256-4673
✔ PECOS✔ Accepts Medicare29 mi
Vascular Surgery
NPI 1689925844
591 E ELDER ST STE B
Fallbrook, CA 92028
(858) 304-0117
✔ PECOS✔ Accepts Medicare43 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 Heart, Inc's NPI number?

The NPI number for Coastal Heart, Inc is 1881612828. It was assigned to this organization in the NPPES registry on July 17, 2006. The provider is doing business as Coastal Heart Medical Group. The provider is also known as Coastal Heart Inc.

Where is Coastal Heart, Inc located?

Coastal Heart, Inc is located at 2621 S Bristol St Ste 108, Santa Ana, CA 92704. The listed phone number is (714) 754-1684.

What is Coastal Heart, Inc's specialty?

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

Is Coastal Heart, Inc enrolled in Medicare?

Yes. Coastal Heart, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Heart, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Coastal Heart, Inc, in Cardiovascular Disease (Cardiology), Nephrology and Vascular Surgery. 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. Of these, 1 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 Heart, Inc was last updated on May 19, 2020. 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.