Coastal Village Primary, Inc
NPI 1396080511 · Family Medicine Physician · Pismo Beach, CA
Coastal Village Primary, Inc is a Family Medicine Physician organization in Pismo Beach, CA (NPI 1396080511).
Provider details
- NPI number
- 1396080511
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Cruz, President/Owner(805) 773-7440
- License
- A49080 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-11-28
- Last updated
- 2012-11-28
Frequently asked questions
- What is Coastal Village Primary, Inc's NPI number?
- Coastal Village Primary, Inc's National Provider Identifier (NPI) is 1396080511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Village Primary, Inc?
- Coastal Village Primary, Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Coastal Village Primary, Inc located?
- Coastal Village Primary, Inc's practice location on file with NPPES is 2 James Way, Pismo Beach, CA 93449-4973.
- What is Coastal Village Primary, Inc's phone number?
- The practice phone number listed in the NPPES registry for Coastal Village Primary, Inc is (805) 773-7440.
- Who is the authorized official for Coastal Village Primary, Inc?
- The authorized official listed on Coastal Village Primary, Inc's NPPES record is Joseph Cruz, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Village Primary, Inc's NPI active?
- Yes — Coastal Village Primary, Inc's NPI (1396080511) is active in the NPPES registry as of the last update on 2012-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.