CCA CARE OF CA, LLC (NPI# 1336601434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336601434 |
| Entity Type | Organization |
| Organization Name | CCA CARE OF CA, LLC |
| Practice Address |
533 Airport Blvd Ste 430 Burlingame CA 94010-2018 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Mailing Telephone | 6153860064 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
533 AIRPORT BLVD STE 430 |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013425362 | Cardiac Cin of Northern California LLC | Internal Medicine | 533 Airport Blvd Ste 430, Burlingame, CA 94010-2018 | 2018-01-19 |
| 1891257994 | Cca Care of Ca II, LLC | Internal Medicine | 533 Airport Blvd Ste 430, Burlingame, CA 94010-2018 | 2019-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| 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 |
|---|---|---|---|---|
| 1700812856 | Catherine A Chimenti | Internal Medicine | 1750 El Camino Real Ste 11, Burlingame, CA 94010-3208 | 2006-06-23 |
| 1740460088 | Christopher Woods | Internal Medicine | 1501 Trousdale Dr, 2nd Floor, Burlingame, CA 94010-4506 | 2007-11-03 |
| 1184816316 | Christian Spies | Internal Medicine | 1501 Trousdale Dr, Burlingame, CA 94010 | 2007-08-12 |
| 1023214798 | Amir Ali Schricker | Internal Medicine | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2007-06-21 |
| 1629121975 | David Daniels | Internal Medicine | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2007-01-19 |
| 1801825203 | Michael H Girolami | Internal Medicine | 1750 El Camino Real Ste 11, Burlingame, CA 94010-3208 | 2006-06-30 |
| 1023070430 | Tak Poon | Internal Medicine | 1501 Trousdale Dr, 2nd Floor, Burlingame, CA 94010-4506 | 2006-04-03 |
| 1780645432 | Stephen Elliot Pope | Internal Medicine | 1501 Trousdale Dr, 2nd Floor, Burlingame, CA 94010-4506 | 2006-03-31 |
| 1265493506 | Samuel Chan | Internal Medicine | 1501 Trousdale Dr, 2nd Floor, Burlingame, CA 94010-4506 | 2006-03-28 |
| 1821059114 | Michael David Rabbino | Internal Medicine | 1720 El Camino Real, Ste 100, Burlingame, CA 94010-3224 | 2006-03-28 |
| Find all providers in BURLINGAME | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
Please comment or provide details below to improve the information on CCA CARE OF CA, LLC.
| 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.