Coastal Cardiology A Medical Corp
NPI 1689836504ActiveOrganization· Internal Medicine, Cardiovascular Disease· Templeton, CA
Internal Medicine, Cardiovascular Disease in Templeton, California, registered in NPPES in July 2008. The authorized official on file is Marissa Famularo, Operations Manager.
Overview
| NPI | 1689836504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2008 |
| Last updated in NPPES | Sep 9, 2025 |
| Certified by provider | Sep 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | G44009 | CA |
| Internal Medicine, Interventional Cardiology | 207RI0011X | G69997 | CA |
| Physician Assistant, Medical | 363AM0700X | PA23186 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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