Coastal Cardiology a Medical Corp

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COASTAL CARDIOLOGY A MEDICAL CORP

Doing business as

Coastal Cardiology

Practice address

345 S Halcyon Rd
Arroyo Grande, CA 93420

Phone

(805) 782-8844

NPI assigned

Sep 25, 2008

Last updated

Sep 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Famularo

Title

Operations Manager

Phone

(805) 782-8844

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Coastal Cardiology Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven C Pontius, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • San Luis Obispo, CA
  • NPI 1750360350

  Specialist

  NPD (past)

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1619127693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12003",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934062003",
            "telephone_number": "805-782-8844",
            "fax_number": "805-540-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "93420",
            "telephone_number": "805-782-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARDIOLOGY A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "FAMULARO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "805-782-8844"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ24859Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CP1074",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet Clark, PSY, LEP, BCBA
• Anthony Thomas Clementi
• Coast Nursing Anesthesia, Inc
• Coast Radiology Medical Associates a California General Partnership
• Coastal Cardiology a Medical Corp
• Coastal Mobile Physical Therapy Inc
• Dyllan Nicole Coelho-Holm, MS
• Kristyn Collins, PHD
• Community Health Centers of the Central Coast Inc
• Community Health Centers of the Central Coast Inc

• Cardiovascular Disease Physician in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.