PACIFIC HEART GROUP INC NPI 1275562902

NPI Information

NPI: 1275562902
Provider Name: PACIFIC HEART GROUP INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2332 23RD ST
EUREKA, CA
ZIP 95501
Phone: (707) 444-8300
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PACIFIC HEART GROUP INC is a cardiovascular disease internal medicine in Eureka, 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. PACIFIC HEART GROUP INC NPI is 1275562902. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2332 23RD ST
EUREKA, CA
ZIP 95501-231
Phone: (707) 444-8300
Fax: (707) 444-8349

The provider's authorized official is David Russell Ploss .
The authorized official title is Doctor and has the following contact phone number (707) 444-8300.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 8/22/2020.

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	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	X
3	207RI0011X	Internal Medicine	Interventional Cardiology	X
4	207UN0901X	Nuclear Medicine	Nuclear Cardiology	X

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	GR0077000	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: 11/14/2023

NPI Synchronization or Removal

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