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Coastal Cardiology A Medical Corp

Cardiovascular Disease Physician in San Luis Obispo, CA · enumerated 2008 · authorized official Marissa Famularo, Operations Manager.

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

National Provider Identifier

1962664888

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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 102, San Luis Obispo, CA, 93401
Phone (805) 782-8844
Fax (813) 613-2633
Enumeration date Jul 1, 2008
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 A114658 (CA) Secondary
207U00000X Nuclear Medicine Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Marissa Famularo
Title Operations Manager
Phone (805) 782-8844

Other identifiers

Identifier Type State Issuer
GR000068680 Medicaid CA -
CP1074 Other CA RR MEDICARE
ZZZ28458Z Other CA BLUE SHIELD

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

What is the NPI number for Coastal Cardiology A Medical Corp?
The NPI for Coastal Cardiology A Medical Corp is 1962664888, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Coastal Cardiology A Medical Corp?
NPPES lists Marissa Famularo (Operations Manager) as the authorized official for this organization.

Providers at this address

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