1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Internal Medicine
  6. NPI Profile

COASTAL CARDIOLOGY A MEDICAL CORP
NPI 1962664888
Internal Medicine - Cardiovascular Disease in San Luis Obispo, CA

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: July 26, 2026.

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

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

Other Providers at the Same Location NPPES 3

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

MADELINE JEANNE MCDONALD PA-C
Physician Assistant
1941 JOHNSON AVE STE 102
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
MOHAMMAD HASHMI D.O
Internal Medicine (Interventional Cardiology)
1941 JOHNSON AVE STE 102
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844
PACIFIC CENTRAL COAST HEALTH CENTERS
Clinic/Center (Community Health)
1941 JOHNSON AVE STE 102
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 782-8844

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.

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 with the weekly NPPES data releases published by CMS.