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

Q: 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.

Q: 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.

Active since July 17, 2006CLIA 05D0951356 · Waiver

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: August 02, 2026.

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

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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 holds a CLIA Waiver certificate valid through September 15, 2026, 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

Phone(714) 754-1684

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 ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

2621 S BRISTOL ST STE 108, Santa Ana, CA 92704

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0951356

Coastal Heart Medical Group Inc · Santa Ana, CA

Active · expires Sep 15, 2026

CLIA Number05D0951356

Laboratory TypePhysician Office

Certificate Effective DateSeptember 16, 2024

Certificate Expiration DateSeptember 15, 2026

Laboratory DirectorAnil V. Shah MD

Laboratory Phone(714) 754-1684

Laboratory LocationCoastal Heart Medical Group Inc2621 S Bristol Street Suite 108, Santa Ana, CA 92704

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELAINE PETERSON PA

Physician Assistant

2621 S BRISTOL ST STE 108
SANTA ANA, CA 92704

Orange County (714) 754-1684

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.

Does Coastal Heart, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0951356) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.