COASTAL CARDIOLOGY A MEDICAL CORP
NPI 1962664888
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 1962664888. It was assigned to this organization in the NPPES registry on July 1, 2008.

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 July 01, 2008

1941 JOHNSON AVE STE 102, SAN LUIS OBISPO, CA 93401(805) 782-8844(813) 613-2633 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, Jul 9, 2022, Nov 25, 2019 and 3 more (6 updates tracked since 2016).

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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 1962664888) is a healthcare organization registered as a cardiovascular disease in San Luis Obispo, California and active in the NPI registry since July 2008. The organization lists Marissa Famularo, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1962664888

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameCOASTAL CARDIOLOGY A MEDICAL CORP

Location Address1941 JOHNSON AVE STE 102San 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) 613-2633

Organization SubpartNo

Authorized OfficialMarissa FamularoOperations Manager · (805) 782-8844

Enumeration DateJuly 1, 2008

Last NPPES UpdateSeptember 9, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2025

✔ NPI 1962664888 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 A114658 (CA)

Also ListedNuclear MedicineTaxonomy 207U00000X

Other Identifiers 3

MedicaidGR000068680CA

OtherCP1074CA · Rr Medicare

OtherZZZ28458ZCA · Blue Shield

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 Cardiology A Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 9 clinicians reassign Medicare billing to Coastal Cardiology A Medical Corp, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Armin Bandari, MD, FACC

Cardiovascular Disease (Cardiology)

NPI 1679750574

1370 CHORRO ST
San Luis Obispo, CA 93401

(805) 329-6762

✔ PECOS✔ Accepts Medicare

Andrew Dennish, MD, FACC

Cardiovascular Disease (Cardiology)

NPI 1013085810

295 POSADA LN SUITE A
Templeton, CA 93465

(805) 782-8844

✔ PECOS✔ Accepts Medicare

Robert Doria, MD, FACC

Interventional Cardiology

NPI 1376521005

1941 JOHNSON AVE # 101
San Luis Obispo, CA 93401

(805) 782-8844

✔ PECOS✔ Accepts Medicare

Lorianna Fletcher, MD, FACC

Cardiovascular Disease (Cardiology)

NPI 1497715023

1941 JOHNSON AVE # 101
San Luis Obispo, CA 93401

(805) 782-8844

✔ PECOS✔ Accepts Medicare

Megan Hansen, AGACNP

Nurse Practitioner

NPI 1306498464

1941 JOHNSON AVE STE 101
San Luis Obispo, CA 93401

(805) 782-8844

✔ PECOS✔ Accepts Medicare

Mohammad Hashmi, D.O

Internal Medicine

NPI 1770014201

1941 JOHNSON AVE STE 102
San Luis Obispo, CA 93401

(805) 782-8844

✔ PECOS✔ Accepts Medicare

Adam Niku, MD

Cardiovascular Disease (Cardiology)

NPI 1760837447

1941 JOHNSON AVE STE 101
San Luis Obispo, CA 93401

(805) 782-8844

✔ PECOS✔ Accepts Medicare

Mark Sada, MD, FACC

Interventional Cardiology

NPI 1639157282

1941 JOHNSON AVE STE 101
San Luis Obispo, CA 93401

(805) 782-8844

✔ PECOS✔ Accepts Medicare

Michael Wiechmann, MD, FACC

Cardiovascular Disease (Cardiology)

NPI 1104805837

295 POSADA LN STE A
Templeton, CA 93465

(805) 782-8844

✔ PECOS✔ Accepts Medicare

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 Cardiology A Medical Corp's NPI number?

The NPI number for Coastal Cardiology A Medical Corp is 1962664888. It was assigned to this organization in the NPPES registry on July 1, 2008.

Where is Coastal Cardiology A Medical Corp located?

Coastal Cardiology A Medical Corp is located at 1941 Johnson Ave Ste 102, San Luis Obispo, CA 93401. The listed phone number is (805) 782-8844.

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.

Is Coastal Cardiology A Medical Corp enrolled in Medicare?

Yes. Coastal Cardiology A Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Cardiology A Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Coastal Cardiology A Medical Corp. 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) (5), Interventional Cardiology (2) and Internal Medicine (1). 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 Cardiology A Medical Corp was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.