California Coast Cardiovascular, PC

Key facts

NPI

1497615769

Entity type

Organization (NPI type 2)

Primary specialty

Cardiovascular Disease Physician 207RC0000X

Legal business name

CALIFORNIA COAST CARDIOVASCULAR, PC

Practice address

4060 Fourth Ave Ste 500
San Diego, CA 92103-2121

Phone

(310) 897-6940

NPI assigned

Nov 17, 2025

Organization subpart

No

Authorized official

Name

Nicole Herrick, MD NPI 1376033795

Title

Owner

Phone

(310) 897-6940

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

Practitioners 1

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

• Nicole Lilly Herrick, MD Cardiovascular Disease Physician · San Francisco, CA · NPI 1376033795
  Medicare reassignment NPD Authorized official CA · CARDIOVASCULAR DISEASE

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other names

• Nicole Herrick, MD Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2026.

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1497615769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE STE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032121",
            "telephone_number": "619-260-1900",
            "fax_number": "619-241-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE STE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032121",
            "telephone_number": "310-897-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA COAST CARDIOVASCULAR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "HERRICK",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-897-6940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicole Herrick, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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