CARDIOVASCULAR CONSULTANTS MEDICAL GROUP (NPI# 1821289257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821289257 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR CONSULTANTS MEDICAL GROUP |
| Practice Address |
18350 Roscoe Blvd Suite 603 Northridge CA 91325-4109 |
| Mailing Address |
15243 Vanowen St Suite 301 Van Nuys CA 91405-3605 |
| Practice Telephone | 8189938283 |
| Practice Fax Number | 8189934919 |
| Mailing Telephone | 8187825041 |
| Mailing Fax Number | 8187824864 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2008-05-05 |
| 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 | 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 # | W119D | 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 |
| 1689865016 | Cardiovascular Consultants Medical Group | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2007-08-09 |
| 1669664090 | Cardiovascular Consultants Medical Group | Internal Medicine | 100 Ucla Medical Plz, Suite 410, Los Angeles, CA 90024-6970 | 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 |
18350 ROSCOE BLVD SUITE 603 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808494 | Andrew Chang | Ophthalmology | 18350 Roscoe Blvd, Suite 101, Northridge, CA 91325-4109 | 2005-08-22 |
| 1386145324 | Farhad Fred Naziri | Pharmacist | 18350 Roscoe Blvd, 102, Northridge, CA 91325-4146 | 2018-02-26 |
| 1972956852 | Tobi Quinto | Pathology | 18350 Roscoe Blvd, Northridge, CA 91325-4109 | 2016-07-15 |
| 1053763144 | Sasipan Jetawatana | Pharmacist | 18350 Roscoe Blvd, Northridge, CA 91325-4109 | 2016-07-12 |
| 1427457738 | Md Breath Testing Laboratory | Clinical Medical Laboratory | 18350 Roscoe Blvd, Suite 303, Northridge, CA 91325-4109 | 2014-08-22 |
| 1588003487 | Jennifer Gabrielle Bronson | Nurse Practitioner | 18350 Roscoe Blvd, 213, Northridge, CA 91325-4109 | 2013-06-24 |
| 1972857464 | Marc Kerner, M.d., A.p.c. | Specialist | 18350 Roscoe Blvd, Suite 318, Northridge, CA 91325-4109 | 2012-11-05 |
| 1992072474 | Ronald Accomazzo, Md, A Medical Corporation | Specialist | 18350 Roscoe Blvd, Suite 318, Northridge, CA 91325-4109 | 2011-11-28 |
| 1841441706 | Mandana Barahimi | General Acute Care Hospital | 18350 Roscoe Blvd, Suite 600, Northridge, CA 91325-4187 | 2008-10-08 |
| 1093966236 | Ritoo Gagneja | Family Medicine | 18350 Roscoe Blvd, Suite 600, Northridge, CA 91325-4109 | 2008-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| 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 |
|---|---|---|---|---|
| 1942496211 | Mehrdad Kevin Ariani | Internal Medicine | 18350 Roscoe Bl, #400, Northridge, CA 91325 | 2007-09-20 |
| 1619175254 | Zouheir Elias Md A Professional Corporation | Internal Medicine | 18350 Roscoe Blvd Ste 401, Northridge, CA 91325-4169 | 2007-07-05 |
| 1073627022 | Richard Fernando Pego | Internal Medicine | 17075 Devonshire Street, Suite 201, Northridge, CA 91325-5407 | 2006-08-18 |
| 1265839658 | S J Kal Inc. | Internal Medicine | 18350 Roscoe Blvd Ste 401, Northridge, CA 91325-4169 | 2014-12-01 |
| 1326443649 | Teodik Grigorian | Internal Medicine | 18531 Roscoe Blvd Ste 215, Northridge, CA 91324-5975 | 2014-10-29 |
| 1760800601 | Sanbir Singh Sidhu | Internal Medicine | 8510 Balboa Blvd Ste 150, Northridge, CA 91325-5810 | 2014-03-28 |
| 1346447646 | Jahandar Reza Saleh Md Inc | Internal Medicine | 18350 Roscoe Blvd, Suite 400, Northridge, CA 91325-4109 | 2007-06-29 |
| 1861526451 | Jahandar Reza Saleh | Internal Medicine | 18350 Roscoe Blvd, Suite 400, Northridge, CA 91325-4109 | 2007-03-15 |
| 1962460501 | Zouheir Hanna Elias | Internal Medicine | 18350 Roscoe Blvd, #401, Northridge, CA 91325-4169 | 2006-05-03 |
| 1184689713 | Cardiovascular Imaging Medical Group | Internal Medicine | 18300 Roscoe Blvd, Northridge, CA 91325-4105 | 2006-04-18 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
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.