MEDICARE: CALIFORNIA COAST CARDIOVASCULAR, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1497615769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALIFORNIA COAST CARDIOVASCULAR, PC

Provider Business Mailing Address
First Line	:	4060 FOURTH AVE STE 500
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2121
Country	:	US
Telephone Number	:	619-260-1900
Fax Number	:	619-241-2716

Provider Business Practice Location Address
First Line	:	4060 FOURTH AVE STE 500
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2121
Country	:	US
Telephone Number	:	310-897-6940
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NICOLE HERRICK
Credential	:	MD
Telephone Number	:	310-897-6940

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	04/09/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1114415866 — STEPHANIE KIM PHARMD
Practice Location Address:

4060 FOURTH AVE STE 507
SAN DIEGO, CA
92103-2121

Practice Phone: 858-314-0586
Practice Fax:

1174525299 — MR. JOHN PAUL MOLENAAR MA, F-AAA
Practice Location Address:

4060 4TH AVE , STE 410A
SAN DIEGO, CA
92103-2121

Practice Phone: 619-298-8546
Practice Fax:

1164421400 — ANDREW CU-UNJIENG M.D.
Practice Location Address:

4060 FOURTH AVE. , SUITE 405
SAN DIEGO, CA
92103-2121

Practice Phone: 619-297-9131
Practice Fax: 619-297-6375

1740270313 — DR. JEFFREY A SANDLER M.D.
Practice Location Address:

4060 4TH AVE STE 340
SAN DIEGO, CA
92103-2121

Practice Phone: 619-497-6188
Practice Fax:

1225000532 — JIGAR D. PATEL D.O.
Practice Location Address:

4060 FOURTH AVE STE 650
SAN DIEGO, CA
92103-2121

Practice Phone: 858-900-9778
Practice Fax: 858-900-9380

Directions to “CALIFORNIA COAST CARDIOVASCULAR, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.