Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Coastal Cardiology A Medical Corp

Cardiovascular Disease Physician in San Luis Obispo, CA · enumerated 2006 · authorized official Marissa Famularo, Operations Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720183569

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Registry record

Entity type Organization (Type 2)

Legal business name Coastal Cardiology A Medical Corp

Practice address 1941 Johnson Ave Ste 101, San Luis Obispo, CA, 93401

Phone (805) 782-8844

Fax (813) 613-2634

Enumeration date Sep 14, 2006

Last updated in NPPES Sep 9, 2025

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary

207RI0011X Interventional Cardiology Physician Allopathic & Osteopathic Physicians · License A63687 (CA) Secondary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA23186 (CA) Secondary

Authorized official

Name Marissa Famularo

Title Operations Manager

Phone (805) 782-8844

Other identifiers

Identifier	Type	State	Issuer
CP1074	Other	-	MEDICARE RR
ZZZ24859Z	Other	CA	BLUE SHIELD
GR0068680	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-09. Verify at npiregistry.cms.hhs.gov.

Where is Coastal Cardiology A Medical Corp located?

The practice location on file with NPPES is in San Luis Obispo, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-09.