SHEREV HEART AND VASCULAR CLINIC INC. NPI 1538571864

NPI Information

NPI: 1538571864
Provider Name: SHEREV HEART AND VASCULAR CLINIC, INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D2232420

Address:
8851 CENTER DR
STE 304
LA MESA, CA
ZIP 91942
Phone: (619) 867-0557
Get Directions

SHEREV HEART AND VASCULAR CLINIC, INC. is a cardiovascular disease internal medicine in La Mesa, 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. SHEREV HEART AND VASCULAR CLINIC, INC. NPI is 1538571864. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8851 CENTER DR
STE 304
LA MESA, CA
ZIP 91942-017
Phone: (619) 867-0557
Fax: (619) 867-0558

The provider's authorized official is Dimitri Atanasov Sherev .
The authorized official title is Owner and has the following contact phone number (619) 867-0557.

The CLIA number assigned to this NPI record is 05D2232420 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2014 and was last updated on 11/13/2020.

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	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	A70917	CALIFORNIA	Yes
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology			No
3	207RI0011X	Internal Medicine	Interventional Cardiology	A70917	CALIFORNIA	No
4	207UN0901X	Nuclear Medicine	Nuclear Cardiology	A70917	CALIFORNIA	No

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	9024740	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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