NORTH BAY CARDIOLOGY INC. NPI 1114099884

NPI Information

NPI: 1114099884
Provider Name: NORTH BAY CARDIOLOGY INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D2263355

Address:
4740 HOEN AVE
SANTA ROSA, CA
ZIP 95405
Phone: (707) 542-2783
Get Directions

NORTH BAY CARDIOLOGY INC. is a cardiovascular disease internal medicine in Santa Rosa, CA. The provider is 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. NORTH BAY CARDIOLOGY INC. NPI is 1114099884. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4740 HOEN AVE
SANTA ROSA, CA
ZIP 95405-824
Phone: (707) 542-2783
Fax: (707) 542-7976

The provider's authorized official is Stephen Wayne Halpern .
The authorized official title is President and has the following contact phone number (707) 542-2783.

The CLIA number assigned to this NPI record is 05D2263355 - other - clinical research site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 11/18/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ17933Z	MEDICARE UPIN	CALIFORNIA
2	ZZZ17933Z	OTHER	CALIFORNIA	MEDICARE ID TYPE UNSPECIFIED
3	GR0091060	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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