CALIFORNIA CARDIOVASCULAR CENTER A MEDICAL CORPORATION (NPI# 1659603298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659603298 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA CARDIOVASCULAR CENTER A MEDICAL CORPORATION |
| Practice Address |
975 Saint John Pl Suite A Hemet CA 92543-4428 |
| Practice Telephone | 9516525037 |
| Practice Fax Number | 9519259181 |
| Mailing Telephone | 9516525037 |
| Mailing Fax Number | 9519259181 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | SADRUDDIN KHOJA (OWNER) |
| Authorized Official Telephone | 9516525037 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A26423 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
975 SAINT JOHN PL SUITE A |
| City | HEMET |
| State | CA |
| Zip Code | 92543-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647220 | Brian Glenn Mills Sr. | Podiatrist | 975 Saint John Pl, Ste B, Hemet, CA 92543-4428 | 2005-05-24 |
| 1396911988 | Brian G Mills, Dpm Inc | Podiatrist | 975 Saint John Pl, Ste B, Hemet, CA 92543-4428 | 2008-05-02 |
| 1548327281 | Cynthia Anne Tuttle | Nurse Practitioner | 975 Saint John Pl, A, Hemet, CA 92543-4428 | 2007-01-02 |
| 1285620195 | Sadruddin Khoja | Internal Medicine | 975 Saint John Pl, Ste A, Hemet, CA 92543-4428 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
| Find all providers in zip 92543 | ||||
| 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 |
|---|---|---|---|---|
| 1578816807 | Heart Partners Medical Group Inc | Internal Medicine | 1275 E Latham Ave Ste B, Hemet, CA 92543-4424 | 2012-10-24 |
| 1588748115 | Anil Rastogi Md Inc | Internal Medicine | 1275 E Latham, Suite A, Hemet, CA 92543 | 2006-10-24 |
| 1710915095 | Jose M Dimen | Internal Medicine | 1275 E Latham Ave Ste A, Hemet, CA 92543 | 2006-06-28 |
| 1265402150 | Dipeshkumar K Gandhi | Internal Medicine | 949 Calhoun Pl, Suite D, Hemet, CA 92543-4403 | 2006-01-24 |
| 1558788331 | Faculty Physicians and Surgeons of Llusm | Internal Medicine | 603 E Latham Ave, Hemet, CA 92543-4342 | 2014-03-18 |
| 1982044244 | Krishna Anurag Pulumati | Internal Medicine | 1275 E Latham Ave Ste A, Hemet, CA 92543-4424 | 2013-07-01 |
| 1518100825 | Shivang Shah | Internal Medicine | 1275 E Latham Ave Ste A, Hemet, CA 92543-4424 | 2009-04-16 |
| 1821259060 | Soo Sang Choe Md A Medical Corp | Internal Medicine | 903 E Devonshire Ave, #a, Hemet, CA 92543 | 2008-06-20 |
| 1386828077 | Hong-ling Lee | Internal Medicine | 603 E Latham Ave, Hemet, CA 92543-4342 | 2007-12-18 |
| 1477606424 | Hemet Ekg Interpretation Medical Group, Inc. | Internal Medicine | 1117 E Devonshire Ave, Cardiology Office, Hemet, CA 92543-3083 | 2007-01-20 |
| Find all providers in HEMET | ||||
Please comment or provide details below to improve the information on CALIFORNIA CARDIOVASCULAR CENTER A MEDICAL CORPORATION.
| 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.