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

Pacific Coastal Medical Group Professional Corporation

Organization Internal Medicine Physician · NPI 1679459077

Pacific Coastal Medical Group Professional Corporation is an Internal Medicine Physician in San Marcos, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

960 W San Marcos Blvd Ste 210
San Marcos, CA 92078-1147
Phone: (760) 290-4309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1679459077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanna Oliver — Owner · (760) 290-4309
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address2604b El Camino Real Unit 340, Carlsbad, CA 92008-1214

Other providers in San Marcos