CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC. (NPI# 1437194677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437194677 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC. |
| Practice Address |
20126 Stanton Ave #100 Castro Valley CA 94546-5271 |
| Mailing Address |
2855 Mitchell Dr #223 Walnut Creek CA 94598-1600 |
| Practice Telephone | 5105373556 |
| Practice Fax Number | 5105373610 |
| Mailing Telephone | 5105373556 |
| Mailing Fax Number | 5105373610 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | PAUL L LUDMER (PRESIDENT) |
| Authorized Official Telephone | 5104521345 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD PROVIDER NUMBER | ZZZ56222Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770780355 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 2855 Mitchell Dr Ste 223, Walnut Creek, CA 94598-1609 | 2007-06-28 |
| 1720225808 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2009-01-12 |
| 1538197413 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-06-29 |
| 1629013842 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 365 Hawthorne Ave, #201, Oakland, CA 94609-3107 | 2006-06-19 |
| 1710922034 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 5201 Norris Canyon Rd, #220, San Ramon, CA 94583-5411 | 2006-06-19 |
| 1437194750 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 2400 Balfour Rd, #215, Brentwood, CA 94513-4945 | 2006-06-19 |
| 1275578478 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 400 Taylor Blvd, #101, Pleasant Hill, CA 94523-2147 | 2006-06-19 |
| Street Address |
20126 STANTON AVE #100 |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437541 | Kenneth E Smith | Audiologist | 20126 Stanton Ave, Suite 205, Castro Valley, CA 94546-5271 | 2005-12-12 |
| 1740322098 | The Hearing Center of Castro Valley | Audiologist-Hearing Aid Fitter | 20126 Stanton Ave, Suite 205, Castro Valley, CA 94546-5271 | 2007-02-13 |
| 1497760870 | Bay Valley Medical Group, Inc. | Obstetrics & Gynecology | 20126 Stanton Ave, Ste 201, Castro Valley, CA 94546-5271 | 2006-07-31 |
| 1528003399 | John E Nackley | Pediatrics | 20126 Stanton Ave, Ste 201, Castro Valley, CA 94546-5271 | 2006-06-17 |
| 1508821505 | Zev M. Kahn, M.d, P.C. | Otolaryngology | 20126 Stanton Ave, 203, Castro Valley, CA 94546-5271 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
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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.