Organization Active NPI

North Coast Cardiology, Inc.

  • Cardiovascular Disease Physician
  • Encinitas, CA
National Provider Identifier
1144358987
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A66026 Issued in CA
Legal business name
NORTH COAST CARDIOLOGY, INC.
Practice address
4401 Manchester Ave
Suite 103
Encinitas, CA 92024-4938
Phone
(760) 753-0220
Fax
(760) 753-2639
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Katherine Jill Ludington, M.D.NPI 1164420469
Title
President
Phone
(760) 753-0220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A66026 CA Primary

Addresses

Primary practice location

4401 Manchester Ave
Suite 103
Encinitas, CA 92024-4938

Mailing address

4653 Carmel Mountain Rd
Suite 308-513
San Diego, CA 92130-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070515000571 CA Part B Supplier - Clinic/Group Practice 8628175205 Receives reassigned benefits from 4 practitioners
Practice locations: Encinitas, CA; Oceanside, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1089419North Coast Cardiology Inc4401 Manchester Ave Ste 106, Encinitas, CA 92024Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Locations

4401 Manchester Ave
Ste 106
Encinitas, CA 92024
Phone (760) 753-0220

4653 Carmel Mountain Rd
Ste 308513
San Diego, CA 92130

2067 W Vista Way
Ste 130B
Vista, CA 92083
Phone (760) 753-0220

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1217/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144358987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 CARMEL MOUNTAIN RD",
            "address_2": "SUITE 308-513",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MANCHESTER AVE",
            "address_2": "SUITE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244938",
            "telephone_number": "760-753-0220",
            "fax_number": "760-753-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST CARDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUDINGTON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-753-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A66026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.