NPIMap

Organization Active NPI

Coastal Cardiovascular Care Inc

  • Cardiac Rehabilitation Registered Nurse
  • Encinitas, CA
National Provider Identifier
1336097831
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X
Legal business name
COASTAL CARDIOVASCULAR CARE INC
Practice address
700 Garden View CT Ste 204
Encinitas, CA 92024-2478
Phone
(760) 452-6334
Fax
(760) 634-9755
NPI assigned
Mar 19, 2026
Organization subpart
Yes
Parent organization
COASTAL CARDIOVASCULAR CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Salman MehboobNPI 1497841795
Title
MD
Phone
(760) 230-2256

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
Cardiac Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC3500X Primary

Addresses

Primary practice location

700 Garden View CT Ste 204
Encinitas, CA 92024-2478

Mailing address

700 Garden View CT Ste 204
Encinitas, CA 92024-2478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260625001941 CA Part B Supplier - Intensive Cardiac Rehabilitation 8921341645 Receives reassigned benefits from 1 practitioner
Practice locations: Encinitas, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Coastal Cardiovascular Care2 organizations share this tax ID, including this one
Part of
Coastal Cardiovascular Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1336097831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 204",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478",
            "telephone_number": "760-452-6334",
            "fax_number": "760-634-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARDIOVASCULAR CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL CARDIOVASCULAR CARE INC",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "MEHBOOB",
        "authorized_official_first_name": "SALMAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "760-230-2256"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "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 Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.