COASTAL HEART INC
NPI 1881612828
Internal Medicine - Cardiovascular Disease in Santa Ana, CA
NPI Status: Active since July 17, 2006
Contact Information
2621 S BRISTOL ST STE 108
SANTA ANA, CA
ZIP 92704
Phone: (714) 754-1684
Fax: (714) 966-0417
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 05D0951356
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-15-2026
About COASTAL HEART INC
This page provides the complete NPI Profile along with additional information for Coastal Heart Inc, an internist established in Santa Ana, California operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1881612828 assigned on July 2006. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Coastal Heart Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Coastal Heart Inc. The authorized official of this NPI record is Rebeca E Hernandez (Administrator)
- NPI
- 1881612828
- Provider Legal Name
- COASTAL HEART, INC
- Other Organization Name
- COASTAL HEART INC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2621 S BRISTOL ST STE 108 SANTA ANA, CA 92704
- Location Phone
- (714) 754-1684
- Location Fax
- (714) 966-0417
- Mailing Address
- 2621 S BRISTOL ST SUITE 108 SANTA ANA, CA 92704
- Mailing Phone
- (714) 754-1684
- Mailing Fax
- (714) 966-0417
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-17-2006
- Last Update Date
- 05-19-2020
- Code Navigator
An internist like Coastal Heart Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 2621 S Bristol St Ste 105
Santa Ana, CA 92704
(714) 754-1684 - 11760 Central Ave Ste 204
Chino, CA 91710
(714) 754-1684
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RC0001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0093900 | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0951356
- Facility Type
- Physician Office
- Certificate Effective Date
- September 16, 2024
- Certificate Expiration Date
- September 15, 2026
- Laboratory Director
- ANIL V. SHAH MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Coastal Heart Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1881612828, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881612828, enumerated as an "organization" on July 17, 2006.
The provider is located at 2621 S BRISTOL ST STE 108 SANTA ANA, CA 92704 and the phone number is (714) 754-1684.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
