Organization Active NPI

California Coastal Cardiology,a Professional Corporation

  • Specialist
  • Vista, CA
National Provider Identifier
1801082045
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A52221 Issued in CA
Legal business name
CALIFORNIA COASTAL CARDIOLOGY,A PROFESSIONAL CORPORATION
Practice address
1235 W Vista Way Ste L
Vista, CA 92083-6234
Phone
(603) 264-0464
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Robert W Orr, MD
Title
Owner/President
Phone
(603) 264-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A52221 CA Primary

Addresses

Primary practice location

1235 W Vista Way Ste L
Vista, CA 92083-6234

Mailing address

1235 Vista Way, Suite L
Vista, CA 92083
Phone (603) 264-0464

National Provider Directory

National Provider Directory

Locations

5050 Avenida Encinas
Ste 230
Carlsbad, CA 92008

169 Saxony Rd
Ste 105
Encinitas, CA 92024
Phone (318) 512-9491

2424 Vista Way
Ste 301
Oceanside, CA 92054
Phone (760) 630-1606

Practitioners & affiliated clinicians

Practitioners 1

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1801082045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 VISTA WAY, SUITE L",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92083",
            "telephone_number": "603-264-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W VISTA WAY STE L",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836234",
            "telephone_number": "603-264-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA COASTAL CARDIOLOGY,A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "603-264-0464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A52221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.