CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATION (NPI# 1134127541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134127541 |
| Entity Type | Organization |
| Organization Name | CENTRAL COAST CARDIOLOGY A MEDICAL CORPORATION |
| Other Organization Name | CENTRAL COAST CARDIOLOGY |
| Practice Address |
230 San Jose St Salinas CA 93901-3901 |
| Practice Telephone | 8317582100 |
| Practice Fax Number | 8317581565 |
| Mailing Telephone | 8317582100 |
| Mailing Fax Number | 8317581565 |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | TIMOTHY S. ALBERT (PRESIDENT) |
| Authorized Official Telephone | 8317582100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0059320 | 05 | |
| CA | BLUE SHIELD FOR MONTEREY IM | ZZZ53511Y | 01 |
| CA | BLUE SHIELD FOR MONTEREY CD | ZZZ55762Z | 01 |
| CA | BLUE SHIELD FOR SALINAS IM | ZZZ56339Z | 01 |
| CA | BLUE SHIELD FOR SALINAS CD | ZZZ39580Z | 01 |
| Other Name | Type Code |
|---|---|
| Central Coast Cardiology | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855265 | Central Coast Cardiology A Medical Corporation | Nuclear Medicine | 5 Lower Ragsdale Dr, #102, Monterey, CA 93940-5817 | 2005-07-14 |
| Street Address |
230 SAN JOSE ST |
| City | SALINAS |
| State | CA |
| Zip Code | 93901-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450155 | James David Dacus | Internal Medicine | 230 San Jose St, Salinas, CA 93901-3901 | 2005-07-07 |
| 1083198394 | Rachel Ekpenyong | Nurse Practitioner | 230 San Jose St, Salinas, CA 93901-3901 | 2018-09-21 |
| 1134656648 | Bryan Robert Dunn | Nurse Practitioner | 230 San Jose St, Salinas, CA 93901-3901 | 2017-05-15 |
| 1952784126 | James Dacus, Md Inc A Medical Corporation | Internal Medicine | 230 San Jose St, Salinas, CA 93901-3901 | 2015-07-07 |
| 1194106914 | Tyler Berenji | Physician Assistant | 230 San Jose St, Salinas, CA 93901-3901 | 2015-06-17 |
| 1639515406 | Yousef Mohammed Hindi | Internal Medicine | 230 San Jose St, Salinas, CA 93901-3901 | 2013-05-20 |
| 1245584754 | Jessica Reinhold Swanson | Nurse Practitioner | 230 San Jose St, Salinas, CA 93901 | 2012-11-06 |
| 1629203005 | Vicky L. Hay | Registered Nurse | 230 San Jose St, Salinas, CA 93901 | 2009-05-28 |
| 1952525123 | Steven Regwan | Internal Medicine | 230 San Jose St, Salinas, CA 93901-3901 | 2007-04-12 |
| 1124176110 | Yuji Saito | Internal Medicine | 230 San Jose St, Salinas, CA 93901-3901 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1881222198 | Megan Emery | Occupational Therapist | Monterey County Office of Education, 901 Blanco Circle, Salinas, CA 93901 | 2020-03-31 |
| 1083171433 | Leeann Rose Gutierrez | Behavior Technician | 505 E Romie Lane, Suite E, Salinas, CA 93901 | 2019-02-21 |
| 1043784853 | Jeanne Miranda Gapac Brady | Pharmacy | 420 East Romie Lane, Salinas, CA 93901 | 2019-01-15 |
| 1164994422 | Epigmenio Vazquez | Behavior Technician | 505 E Romie Lane, Salinas, CA 93901 | 2018-12-27 |
| 1043709751 | Stephanie Gailo | Registered Nurse | Dept of Social Services, Family & Children's Services., 1000 S. Main St. Ste 205, Salinas, CA 93901 | 2018-05-08 |
| 1912405846 | Elizabeth Zaragoza | Counselor | 130 W. Gabilan Street, Salinas, CA 93901 | 2018-01-25 |
| 1144749540 | Shelby Lynn Hyosaka | Registered Nurse | 333 Abbott St. - United Ag Health and Wellness Center, Ste. A, Salinas, CA 93901 | 2017-09-17 |
| 1275058075 | Marisol Jacobo | Social Worker | 41 E San Luis St., Salinas, CA 93901 | 2017-08-14 |
| 1225484959 | Kristen Ryan Russell | Occupational Therapist | Windsor Gardens Center of Rehabilitation, 637 E Romie Ln, Salinas, CA 93901 | 2016-05-12 |
| Find all providers in zip 93901 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952309908 | Thomas Allen Mustoe | Internal Medicine | 230 San Jose St, Salinas, CA 93901-3901 | 2005-07-13 |
| 1942208848 | Patrik Carl Zetterlund | Internal Medicine | 230 San Jose St, Salinas, CA 93901-3901 | 2005-07-13 |
| 1407854599 | Richard Seth Gerber | Internal Medicine | 230 San Jose St, Salinas, CA 93901-3901 | 2005-07-12 |
| 1467459230 | George W Yee | Internal Medicine | 355 Abbott St, 100, Salinas, CA 93901-4483 | 2005-07-07 |
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|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.