CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC. (NPI# 1720225808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720225808 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC. |
| Practice Address |
6380 Clark Ave Dublin CA 94568-3036 |
| Mailing Address |
2855 Mitchell Dr Ste 223 Walnut Creek CA 94598-1609 |
| Practice Telephone | 9252771900 |
| Practice Fax Number | 9252771568 |
| Mailing Telephone | 9259755930 |
| Mailing Fax Number | 9259755941 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | CHELLY WINKLER (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9259755944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770780355 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 2855 Mitchell Dr Ste 223, Walnut Creek, CA 94598-1609 | 2007-06-28 |
| 1538197413 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-06-29 |
| 1629013842 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 365 Hawthorne Ave, #201, Oakland, CA 94609-3107 | 2006-06-19 |
| 1710922034 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 5201 Norris Canyon Rd, #220, San Ramon, CA 94583-5411 | 2006-06-19 |
| 1437194750 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 2400 Balfour Rd, #215, Brentwood, CA 94513-4945 | 2006-06-19 |
| 1275578478 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 400 Taylor Blvd, #101, Pleasant Hill, CA 94523-2147 | 2006-06-19 |
| 1437194677 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 20126 Stanton Ave, #100, Castro Valley, CA 94546-5271 | 2006-06-19 |
| Street Address |
6380 CLARK AVE |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922071844 | Carl Craig Van Wey | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2006-02-10 |
| 1508408899 | Eunsun Kim | Nurse Practitioner | 6380 Clark Ave, Dublin, CA 94568-3036 | 2019-10-08 |
| 1609389550 | Katie Vasconez | Nurse Practitioner | 6380 Clark Ave, Dublin, CA 94568-3036 | 2017-11-14 |
| 1164897070 | Gia Thornburg | Nurse Practitioner | 6380 Clark Ave, Dublin, CA 94568-3036 | 2015-12-03 |
| 1184981029 | Vivian Le-tran | Surgery | 6380 Clark Ave, Dublin, CA 94568-3036 | 2012-04-17 |
| 1003127390 | Bay Imaging Consultants Medical Group | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2010-07-01 |
| 1033349485 | Bao Duy Dao | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2009-07-20 |
| 1962679753 | Amanpreet Buttar | Internal Medicine | 6380 Clark Ave, Dublin, CA 94568-3036 | 2008-05-12 |
| 1275755621 | Gautam Prasad | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2007-05-03 |
| 1700859352 | Michael Richard Forrest | Radiology | 6380 Clark Ave, Dublin, CA 94568-3036 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| 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 |
|---|---|---|---|---|
| 1891918264 | Dublin-macon Cardiology, PC | Internal Medicine | 206a Hospital Dr, Dublin, GA 31021-2989 | 2007-04-11 |
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| 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.