PREMIER CARDIOLOGY INC. NPI 1528202363

NPI Information

NPI: 1528202363
Provider Name: PREMIER CARDIOLOGY INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D2006759

Address:
520 SUPERIOR AVE
SUITE 330
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 478-7373
Get Directions

PREMIER CARDIOLOGY INC. is a cardiovascular disease internal medicine in Newport Beach, 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. PREMIER CARDIOLOGY INC. NPI is 1528202363. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

520 SUPERIOR AVE
SUITE 330
NEWPORT BEACH, CA
ZIP 92663-637
Phone: (949) 478-7373
Fax: (949) 650-2898

The provider's authorized official is Gia Allen .
The authorized official title is Billing Supervisor and has the following contact phone number (949) 478-7373.

The CLIA number assigned to this NPI record is 05D2006759 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2009 and was last updated on 7/30/2012.

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	207RI0011X	Internal Medicine	Interventional Cardiology	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	No
3	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
4	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	CS976A	MEDICARE PIN	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

NPI Synchronization or Removal

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