CARDIOVASCULAR CONSULTANTS MEDICAL GROUP (NPI# 1669664090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669664090 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR CONSULTANTS MEDICAL GROUP |
| Practice Address |
100 Ucla Medical Plz Suite 410 Los Angeles CA 90024-6970 |
| Mailing Address |
15243 Vanowen St Suite 301 Van Nuys CA 91405-3605 |
| Practice Telephone | 3108243378 |
| Practice Fax Number | 3102082870 |
| Mailing Telephone | 8187825041 |
| Mailing Fax Number | 8182059091 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. ISAAC WIENER (PHYSICIAN / MANAGING PARTNER) |
| Authorized Official Telephone | 8187825041 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CARDIOVASCULAR CONSULTANTS MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LEGACY NUMBER | W119 | 01 |
| CA | MEDICARE GROUP PROVIDER # | W119A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790195410 | Cardiovascular Consultants Medical Group | Internal Medicine | 16542 Ventura Blvd, Suite 402, Encino, CA 91436-2005 | 2014-05-02 |
| 1730370156 | Cardiovascular Consultants Medical Group | Internal Medicine | 14901 Rinaldi St, Suite 110, Mission Hills, CA 91345-1204 | 2007-08-09 |
| 1689865016 | Cardiovascular Consultants Medical Group | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2007-08-09 |
| 1821289257 | Cardiovascular Consultants Medical Group | Internal Medicine | 18350 Roscoe Blvd, Suite 603, Northridge, CA 91325-4109 | 2007-08-09 |
| 1427035617 | Cardiovascular Consultants Medical Group | Internal Medicine | 15243 Vanowen St, Suite 301, Van Nuys, CA 91405-3605 | 2005-12-28 |
| Street Address |
100 UCLA MEDICAL PLZ SUITE 410 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90024-6970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172313 | Robynn Goldstein | Nurse Practitioner | 100 Ucla Medical Plz, Suite 770, Los Angeles, CA 90024-6970 | 2005-08-29 |
| 1851823082 | Bo Yu | Dentist | 100 Ucla Medical Plz, Ste 350, Los Angeles, CA 90024-6970 | 2017-03-28 |
| 1467909473 | Lauren Marie Wilstein | Registered Nurse | 100 Ucla Medical Plz, Suite 730, Los Angeles, CA 90024-6970 | 2016-09-07 |
| 1265886519 | Yangpei Cao | Dentist | 100 Ucla Medical Plz, Suite 350, Los Angeles, CA 90024-6970 | 2016-04-22 |
| 1851755060 | Rhusheet Patel | Surgery | 100 Ucla Medical Plz, Suite 630, Los Angeles, CA 90024-6970 | 2016-04-13 |
| 1255704235 | Lauren Maddahi | Dietitian, Registered | 100 Ucla Medical Plz, Suite 410, Los Angeles, CA 90024-6970 | 2015-11-12 |
| 1750785028 | Richard Gerald Ness | Psychiatry & Neurology | 100 Ucla Medical Plz, Suite 725, Los Angeles, CA 90024-6970 | 2014-10-15 |
| 1124447040 | Barry I. Ludwig, M.d. Inc. | Psychiatry & Neurology | 100 Ucla Medical Plz, 425, Los Angeles, CA 90095-1381 | 2014-04-08 |
| 1528484557 | Jessica Ulrich | Nurse Practitioner | 100 Ucla Medical Plz, Suite 760, Los Angeles, CA 90024-6970 | 2014-03-14 |
| 1326486770 | Ryan Aronin | Internal Medicine | 100 Ucla Medical Plz, Suite 490, Los Angeles, CA 90095-3075 | 2013-06-07 |
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| 1063988335 | Formation Inc | Nursing Care | 1611 Westwood Blvd, Los Angeles, CA 90024 | 2018-10-15 |
| 1124504956 | Sherry Sinsay Alamdari | Marriage & Family Therapist | 1328 Westwood Blvd #35, Los Angeles, CA 90024 | 2018-07-15 |
| 1386140739 | Ellen Frances Charles | Student in an Organized Health Care Education/Training Program | Ucla Psychiatry House Staff Office, 760 Westwood Plaza, Suite 37-384, Los Angeles, CA 90024 | 2018-04-04 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1467979658 | Jessica Lessing O'leary | Student in an Organized Health Care Education/Training Program | 760 Westwood Plz # A7-361, Los Angeles, CA 90024 | 2017-08-28 |
| 1144745076 | Mastane M Shalikar | Dental Hygienist | 10683 Holman Ave, #5, Los Angeles, CA 90024 | 2017-08-11 |
| 1902321367 | Mamdouh Alrata | Dentist | 606 Levering Ave, Apt # 312, Los Angeles, CA 90024 | 2017-08-07 |
| 1366988834 | Sibel Kantarci | Medical Genetics | 1010 Veteran Avenue, West Medical Building, Ucla Clinical and Molecular Cytogenetics Laboratory, Los Angeles, CA 90024 | 2017-01-09 |
| 1679016976 | Iris Finger | Psychologist | 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 | 2016-11-18 |
| Find all providers in zip 90024 | ||||
| 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. |
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| 1861967168 | Los Angeles Heart and Vein Center Inc | Internal Medicine | 1300 N Vermont Ave Ste 809, Los Angeles, CA 90027-6098 | 2018-10-12 |
| 1386156453 | Global Cardio Care Inc. | Internal Medicine | 11860 Wilshire Blvd Ste 100, Los Angeles, CA 90025-6606 | 2017-10-30 |
| 1982115457 | Center for Advanced Cardiac and Vascular Interventions | Internal Medicine | 8635 W 3rd St Ste 695w, Los Angeles, CA 90048-6162 | 2017-10-23 |
| 1831611714 | Christine Pacheco Claudio | Internal Medicine | 127 S San Vincente, Barbra Streisand Women's Heart Health Center, Los Angeles, CA 90048 | 2017-07-12 |
| 1063886323 | Saman Fakheri Md Inc | Internal Medicine | 16601 Park Lane Cir, Los Angeles, CA 90049-1146 | 2015-11-23 |
| 1770965758 | Christopher W Chu Md, Inc | Internal Medicine | 711 W College St Ste 540, Los Angeles, CA 90012-1246 | 2015-06-25 |
| 1386088920 | Michael Siamak Shoai | Internal Medicine | 16604 Park Lane Pl, Los Angeles, CA 90049-1150 | 2013-04-25 |
| 1497095962 | Herbert Gold Sr. | Internal Medicine | 1284 Sunset Plaza Dr, Los Angeles, CA 90069 | 2013-02-21 |
| 1205187168 | Masood Haque | Internal Medicine | 2520 Nottingham Ave, Los Angeles, CA 90027-1039 | 2012-10-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90024 |
Please comment or provide details below to improve the information on CARDIOVASCULAR CONSULTANTS MEDICAL GROUP.
| 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.