LA JOLLA CARDIOVASCULAR MEDICAL ASSOC INC NPI 1649287780

NPI Information

  • NPI: 1649287780
  • Provider Name: LA JOLLA CARDIOVASCULAR MEDICAL ASSOC INC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 501 WASHINGTON ST
    SUITE 512
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 297-0014

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NPI Details

LA JOLLA CARDIOVASCULAR MEDICAL ASSOC INC is a cardiovascular disease internal medicine in San Diego, 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. LA JOLLA CARDIOVASCULAR MEDICAL ASSOC INC NPI is 1649287780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 WASHINGTON ST
SUITE 512
SAN DIEGO, CA
ZIP 92103-231
Phone: (619) 297-0014
Fax: (619) 297-1014

The provider's authorized official is Shahin Keramati .
The authorized official title is Chief Executive Officer and has the following contact phone number (619) 297-0014.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 2/14/2011.

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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
100G800331MEDICAIDCALIFORNIA
2RHC145993OTHERCALIFORNIAX-RAY/FLUOROSCOPY
3G80033MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4G09579MEDICARE UPINCALIFORNIA

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: 3/30/2025

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