Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Village Primary Care

Organization Family Medicine Physician · NPI 1992738496

Coastal Village Primary Care is a Family Medicine Physician in Pismo Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2 James Way Ste 209
Pismo Beach, CA 93449-4976
Phone: (805) 773-7440
Fax: (805) 773-7448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A49080 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A70251 (CA)

Record details

NPI number1992738496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Cruz — General Partner · (805) 773-7440
NPI enumeratedJuly 8, 2006
Last updated in NPPESSeptember 16, 2011
Mailing addressPo Box 428, Grover Beach, CA 93483-0428

Other providers in Pismo Beach