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COASTAL VILLAGE PRIMARY CARE
NPI 1992738496
Family Medicine in Pismo Beach, CA

Active since July 08, 2006
2 JAMES WAY, SUITE 209, PISMO BEACH, CA 93449(805) 773-7440(805) 773-7448 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Village Primary Care NPPES

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

COASTAL VILLAGE PRIMARY CARE (NPI 1992738496) is a healthcare organization registered as a family medicine in Pismo Beach, California and active in the NPI registry since July 2006. The organization lists Joseph A. Cruz, General Partner, as its authorized official.

NPPES Registry Identity

NPI1992738496
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOASTAL VILLAGE PRIMARY CARE
Location Address2 JAMES WAY, SUITE 209Pismo Beach, CA 93449-4976
Mailing AddressPo Box 428Grover Beach, CA 93483-0428 · (805) 773-7440 · Fax (805) 773-7448
Phone(805) 773-7440
Fax(805) 773-7448
Organization SubpartNo
Authorized OfficialJoseph A. CruzGeneral Partner · (805) 773-7440
Enumeration DateJuly 8, 2006
Last NPPES UpdateSeptember 16, 2011
✔ NPI 1992738496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A49080
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License A70251 (CA)
2 JAMES WAY, Pismo Beach, CA 93449
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Other Identifiers 3

Medicare PINW16101CA
OtherZZZ06670ZCA · Blue Shield
Medicare PINDB7589

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 16

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

COASTAL VILLAGE PRIMARY CARE, A MEDICAL GROUP
Family Medicine
2 JAMES WAY, STE 209
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-7440
MARC W. WEISE, M.D., INC.
Orthopaedic Surgery
2 JAMES WAY, SUITE 115
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-2650
IRMA DEL CARMEN PEREZ MARTINEZ DMD, MS
Dentist (Pediatric Dentistry)
2 JAMES WAY, SUITE 201
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-1600
MS. KENDRA JOELLE JAMES NP-C, AGACNP-BC
Nurse Practitioner
2 JAMES WAY
PISMO BEACH, CA 93449
San Luis Obispo County (805) 295-6594
PAUL T STALLMAN MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
2 JAMES WAY, SUITE 203
PISMO BEACH, CA 93449
San Luis Obispo County (805) 481-3733
COASTAL PODIATRY CLINIC
Podiatrist (Foot Surgery)
2 JAMES WAY, SUITE 205
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-3668
COASTAL VILLAGE PRIMARY, INC
Family Medicine
2 JAMES WAY, SUITE 209
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-7440
ANN LOUISE MCNEIL NP
Nurse Practitioner (Family)
2 JAMES WAY, SUITE 209
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-7440

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 Village Primary Care's NPI number?

The NPI number for Coastal Village Primary Care is 1992738496. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Coastal Village Primary Care located?

Coastal Village Primary Care is located at 2 James Way Suite 209, Pismo Beach, CA 93449. The listed phone number is (805) 773-7440.

What is Coastal Village Primary Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Coastal Village Primary Care was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.