Coastal Cardiovascular Care Inc
A Medicare group practice based in Encinitas, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8921341645), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8921341645
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Intensive Cardiac Rehabilitation
- Enrolled in
- CA
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20190521003045 | CA | Part B Supplier - Clinic/Group Practice | 1790265445 |
| O20260625001941 | CA | Part B Supplier - Intensive Cardiac Rehabilitation | 1336097831 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Coastal Cardiovascular Care Inc
- Cardiac Rehabilitation Registered Nurse
- Encinitas, CA
- NPI 1336097831
-
Coastal Cardiovascular Care Inc
- Interventional Cardiology Physician
- Encinitas, CA
- NPI 1790265445
Practice locations
- Encinitas, CA2
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (5).
-
Stephanie Carter, M.D.
- Cardiovascular Disease Physician
- Hillsboro, OR
- NPI 1497997407
-
Richard Michael Jacoby, MD
- Interventional Cardiology Physician
- Encinitas, CA
- NPI 1053353029
-
Brittany Samantha Mattia, FNP-C
- Family Nurse Practitioner
- Encinitas, CA
- NPI 1891642237
-
Salman Mehboob, M.D.
- Interventional Cardiology Physician
- Encinitas, CA
- NPI 1497841795
-
Katherine Anne Moreno, ARNP
- Nurse Practitioner
- Encinitas, CA
- NPI 1346527066
-
Kellie K Rolph, N. P.
- Nurse Practitioner
- La Jolla, CA
- NPI 1649571720
-
Charles Michael Wright, M.D.
- Cardiovascular Disease Physician
- La Jolla, CA
- NPI 1104861459
-
Frederick Rodrigo Yturralde, M.D.
- Interventional Cardiology Physician
- Port Charlotte, FL
- NPI 1134186372
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.