COASTAL CARDIOLOGY A MEDICAL CORP
COASTAL CARDIOLOGY A MEDICAL CORP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1720183569, based in San Luis Obispo, CA. The organization lists 3 taxonomy classifications, with Cardiovascular Disease Physician recorded as primary.
Getting there
The practice address on file is 1941 JOHNSON AVE STE 101, San Luis Obispo, CA 93401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PA23186 | CA | Medical Physician Assistant |
| A63687 | CA | Interventional Cardiology Physician |
This provider holds licence PA23186 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7416922760
- Enrollment ID
- O20040830000921
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Cardiovascular Disease covers
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. NUCC Health Care Provider Taxonomy, code 207RC0000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | primary |
| 363AM0700X | Medical Physician Assistant Medical | PA23186 | CA | |
| 207RI0011X | Interventional Cardiology Physician Interventional Cardiology | A63687 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1720183569 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 14, 2006 |
| Last updated | Sep 9, 2025 |
| Status | Active |
| Practice address |
1941 JOHNSON AVE STE 101 San Luis Obispo, CA 93401 (805) 782-8844 Fax (813) 613-2634 |
| Mailing address |
PO BOX 12003 San Luis Obispo, CA 93406 |
| Other identifiers |
CP1074
· Other ZZZ24859Z · Other (CA) GR0068680 · Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 2 | 0 | 1 | 8 | 3 | 5 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 4 | 0 | 2 | 8 | 6 | 5 | 3 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.