SHEREV HEART AND VASCULAR CLINIC, INC. (NPI# 1538571864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538571864 |
| Entity Type | Organization |
| Organization Name | SHEREV HEART AND VASCULAR CLINIC, INC. |
| Practice Address |
8851 Center Dr Ste 304 La Mesa CA 91942-3017 |
| Mailing Address |
9984 Scripps Ranch Blvd # 397 San Diego CA 92131-1825 |
| Practice Telephone | 6198670557 |
| Practice Fax Number | 6198670558 |
| Mailing Telephone | 6198670557 |
| Mailing Fax Number | 6198670558 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | DIMITRI ATANASOV SHEREV (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6198670557 |
| 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 |
A70917 | CA | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
A70917 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A70917 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 9024740 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 752 Medical Center Ct Ste 207, Chula Vista, CA 919116660 | 6198670557 | 6198670558 |
| Street Address |
8851 CENTER DR STE 304 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608881 | Thomas Joseph Murphy | Obstetrics & Gynecology | 8851 Center Dr, Ste 100, La Mesa, CA 91942-3099 | 2005-06-08 |
| 1326680299 | Arielle Paamoni | Physician Assistant | 8851 Center Dr, La Mesa, CA 91942-3017 | 2019-10-11 |
| 1497204234 | Family Health Centers of San Diego, Inc. | Clinic/Center | 8851 Center Dr, Ste 312, La Mesa, CA 91942-3017 | 2016-09-21 |
| 1902279599 | Rhealynn Sison Nofuente | Nurse Practitioner | 8851 Center Dr, #408, La Mesa, CA 91942-3017 | 2015-11-04 |
| 1770959587 | Janice Roberts | Nurse Practitioner | 8851 Center Dr, 408, La Mesa, CA 91942-3017 | 2015-08-15 |
| 1003296104 | Printuben Patel | Pharmacist | 8851 Center Dr, Ste 110, La Mesa, CA 91942-3017 | 2015-06-03 |
| 1467839506 | Alex Matosian | Dentist | 8851 Center Dr, Suite 301, La Mesa, CA 91942-3017 | 2015-04-28 |
| 1790180065 | Gioi Ngoc Smith-nguyen Md A Medical Corporation | Obstetrics & Gynecology | 8851 Center Dr, 206, La Mesa, CA 91942-3017 | 2014-10-29 |
| 1316347040 | Bryant Nguyen, Md, PC | Internal Medicine | 8851 Center Dr, Suite 304, La Mesa, CA 91942-3017 | 2014-08-29 |
| 1043621394 | Mobile Neurology of San Diego | Psychiatry & Neurology | 8851 Center Dr, Suite 603, La Mesa, CA 91942-3017 | 2014-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| 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) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760626477 | Hassan Kafri Md, Inc. | Internal Medicine | 8860 Center Dr, Suite 320, La Mesa, CA 91942-3068 | 2009-04-24 |
| 1235125337 | Ronald K Goldberg | Internal Medicine | 5565 Grossmont Center Dr, Bldg.3, Suite 455, La Mesa, CA 91942-3020 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 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 | ||||
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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.