LA MESA CARDIAC CENTER, A MEDICAL GROUP (NPI# 1689712861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689712861 |
| Entity Type | Organization |
| Organization Name | LA MESA CARDIAC CENTER, A MEDICAL GROUP |
| Practice Address |
5565 Grossmont Center Dr Bldg. 3, Suite 455 La Mesa CA 91942-3020 |
| Practice Telephone | 6194629353 |
| Practice Fax Number | 6194626935 |
| Mailing Telephone | 6194629353 |
| Mailing Fax Number | 6194626935 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2013-01-08 |
| Authorized Official Name | DR. RONALD KEITH GOLDBERG (PARTNER PHYSICIAN) |
| Authorized Official Telephone | 6194629353 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
5565 GROSSMONT CENTER DR BLDG. 3, SUITE 455 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871593756 | Robert W Foster | Internal Medicine | 5565 Grossmont Center Dr, Suite 1-105, La Mesa, CA 91942-3020 | 2005-07-21 |
| 1780227694 | Nassir A Azimi, Md, A Professional Corporation | Internal Medicine | 5565 Grossmont Center Dr, Bldg 3, Suite 444, La Mesa, CA 91942-3020 | 2019-10-23 |
| 1831546043 | Shawncey Mcpherson | Physician Assistant | 5565 Grossmont Center Dr, Bldg. 3, Suite 540, La Mesa, CA 91942-3020 | 2016-05-17 |
| 1669858361 | Jennifer Mcdonald | Nurse Practitioner | 5565 Grossmont Center Dr, Building 3, Ste 525, La Mesa, CA 91942-3020 | 2015-08-04 |
| 1184009458 | Biosolutions Clinical Research Center | Clinic/Center | 5565 Grossmont Center Dr, Building 3, Suite 256, La Mesa, CA 91941 | 2015-07-28 |
| 1104238682 | Shota Gurtch, M.d., Inc., A Professional Corporation | Family Medicine | 5565 Grossmont Center Dr, Bld 1 Ste 210, La Mesa, CA 91942-3020 | 2014-06-02 |
| 1790102127 | Randall W. Stettler, Dds, Inc | Dentist | 5565 Grossmont Center Dr, Building 1, Suite 129, La Mesa, CA 91942-3020 | 2014-03-24 |
| 1760723654 | Tms Therapeutics | Clinic/Center | 5565 Grossmont Center Dr, Suite 357, La Mesa, CA 91942-3020 | 2013-03-03 |
| 1043559859 | Dr. Karen E. Anderson, Apc | Podiatrist | 5565 Grossmont Center Dr, Suite 152, La Mesa, CA 91942-3020 | 2013-02-14 |
| 1013269182 | Ronald M Johnson Md Medical Corp | Surgery | 5565 Grossmont Center Dr, La Mesa, CA 91942-3020 | 2012-10-12 |
| 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 |
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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.