FOOTHILL CARDIOLOGY MEDICAL GROUP, INC. (NPI# 1255382545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255382545 |
| Entity Type | Organization |
| Organization Name | FOOTHILL CARDIOLOGY MEDICAL GROUP, INC. |
| Other Organization Name | FOOTHILL CARDIOLOGY CALIFORNIA HEART MEDICAL GROUP INC. |
| Practice Address |
625 S Fair Oaks Ave Ste 215 Pasadena CA 91105-2613 |
| Mailing Address |
Po Box 80011 City of Industry CA 91716-8011 |
| Practice Telephone | 6267934139 |
| Practice Fax Number | 6267934324 |
| Mailing Telephone | 6267932885 |
| Mailing Fax Number | 6263969952 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | LORETTO GONZALEZ (CFO) |
| Authorized Official Telephone | 6267932885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
26766667 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0041530 | 05 |
| Other Name | Type Code |
|---|---|
| Foothill Cardiology California Heart Medical Group Inc. | Former Legal Business Name - Organization |
| Street Address |
625 S FAIR OAKS AVE STE 215 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668423 | Kaitlyn J Min | Nurse Practitioner | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | 2019-03-14 |
| 1922379965 | Evann E Eisenberg | Internal Medicine | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | 2012-01-23 |
| 1083938906 | Amish A Patel | Internal Medicine | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | 2010-03-22 |
| 1669493367 | Louise Caroline Lalonde | Nurse Practitioner | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1912366097 | Nirp Pasadena, Pllc | Internal Medicine | 3412 Burke Rd # 100, Pasadena, TX 77504-1805 | 2016-02-17 |
| 1710395942 | W Allan Edmiston Md A Medical Corporation | Internal Medicine | 55 E California Blvd Fl 3, Pasadena, CA 91105-3944 | 2014-07-31 |
| 1932308137 | William Leonard Discepolo II | Internal Medicine | 3235 E Colorado Blvd Ste 201, Pasadena, CA 91107-3849 | 2007-07-17 |
| 1538203724 | Ramesh G. Patel | Internal Medicine | 4102 Woodlawn Ave, Ste 250, Pasadena, TX 77504-1947 | 2007-02-19 |
| 1417094665 | Mohamed O Jeroudi Md Pa | Internal Medicine | 5060 Crenshaw Road, Suite # 200, Pasadena, TX 77505-3047 | 2007-01-30 |
| 1902820491 | Premier Heart Specialists P A | Internal Medicine | 4102 Woodlawn, #110, Pasadena, TX 77504 | 2006-07-27 |
| 1922036631 | Ming Jeang | Internal Medicine | 3337 Plainview St, Suite 8, Pasadena, TX 77504-1988 | 2006-06-29 |
| 1316988215 | Anna Marie Harkins Jr. | Internal Medicine | 5010 Crenshaw Rd Ste 110, Pasadena, TX 77505-3047 | 2006-06-10 |
| 1376503144 | Iduama Kelly-dokubo | Internal Medicine | 2750 E Washington Blvd, Suite #370, Pasadena, CA 91107-1448 | 2006-03-24 |
| Find all providers in PASADENA | ||||
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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.