CARDIOVASCULAR CONSULTANTS MEDICAL GROUP (NPI# 1689865016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689865016 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR CONSULTANTS MEDICAL GROUP |
| Practice Address |
23929 Mcbean Pkwy Suite 216 Valencia CA 91355-4466 |
| Mailing Address |
15243 Vanowen St Suite 301 Van Nuys CA 91405-3605 |
| Practice Telephone | 6612591534 |
| Practice Fax Number | 6612843670 |
| Mailing Telephone | 8187825041 |
| Mailing Fax Number | 8187824864 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | DR. JACK A PATTERSON (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 | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP PROVIDER # | W119C | 01 |
| CA | LEGACY NUMBER | W119 | 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 |
| 1669664090 | Cardiovascular Consultants Medical Group | Internal Medicine | 100 Ucla Medical Plz, Suite 410, Los Angeles, CA 90024-6970 | 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 |
23929 MCBEAN PKWY SUITE 216 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768259 | Robert M Horth | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2005-08-29 |
| 1619216132 | Tower Imaging Medical Centers, Inc. | Radiology | 23929 Mcbean Pkwy, Building F - Suite 109, Valencia, CA 91355-4466 | 2013-02-04 |
| 1669711354 | Gregory M Senofsky Md Inc | Surgery | 23929 Mcbean Pkwy, 110, Valencia, CA 91355-4466 | 2013-01-31 |
| 1588891865 | Ucla Hematology and Oncology, Santa Clarita | Internal Medicine | 23929 Mcbean Pkwy, Bldg. F., Suite 215, Valencia, CA 91355-4466 | 2009-06-15 |
| 1386808624 | Daniel Itzhak Brison | Urology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2008-07-16 |
| 1609067040 | Kamyar Amini | Otolaryngology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-08-08 |
| 1194928770 | Joshua Daniel Hanelin | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-06-08 |
| 1710196910 | Nu T. Lu | Internal Medicine | 23929 Mcbean Pkwy, 215, Valencia, CA 91355-4466 | 2007-05-22 |
| 1003024191 | Srinivas Peddi | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-05-20 |
| 1063563237 | Angelo Soriano | Nurse Practitioner | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| 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 |
|---|---|---|---|---|
| 1699768259 | Robert M Horth | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2005-08-29 |
| 1013911460 | Douglas R Gadowski | Internal Medicine | 25775 Mcbean Pkwy, Ste 105, Valencia, CA 91355-3702 | 2005-06-13 |
| 1013193671 | Harold E. Quan, M.d., Inc | Internal Medicine | 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 2008-01-14 |
| 1598774184 | Allen E Karz | Internal Medicine | 23861 Mcbean Pkwy, Suite C14, Valencia, CA 91355-2058 | 2006-08-05 |
| 1649235276 | Cardiovascular Imaging Medical Group | Internal Medicine | 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 2006-04-18 |
| 1821081423 | Kenneth K Tam | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2005-08-30 |
| 1700879384 | Samuel Kojoglanian | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1336754472 | Ankur Gupta Medical Corporation | Internal Medicine | 820 S Akers St Ste 130, Visalia, CA 93277-8346 | 2020-09-15 |
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1679113336 | La Pulse Medical, Inc | Internal Medicine | 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 | 2020-01-10 |
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
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.