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NAPA VALLEY CARDIAC AND THORACIC SURGERY INCORPORATED NPI 1992714471


NPI Information

NPI: 1992714471
Provider Name: NAPA VALLEY CARDIAC AND THORACIC SURGERY, INCORPORATED
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2260409

Address:
3421 VILLA LN
SUITE 2A
NAPA, CA
ZIP 94558
Phone: (707) 254-9640
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NAPA VALLEY CARDIAC AND THORACIC SURGERY, INCORPORATED is a specialist in Napa, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NAPA VALLEY CARDIAC AND THORACIC SURGERY, INCORPORATED NPI is 1992714471. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3421 VILLA LN
SUITE 2A
NAPA, CA
ZIP 94558-056
Phone: (707) 254-9640
Fax: (707) 254-9698

The provider's authorized official is Robert R Klingman .
The authorized official title is President & Cfo and has the following contact phone number (707) 254-9640.

The CLIA number assigned to this NPI record is 05D2260409 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 4/9/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ23233ZMEDICARE ID-TYPE UNSPECIFIEDGROUP MEDICARE ID#
2DA8135MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP RAILROAD MEDICARE
3GR0092770MEDICAIDCALIFORNIA

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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