Provider Type Icon

LA MESA CARDIAC CENTER A MEDICAL GROUP NPI 1689712861


NPI Information

NPI: 1689712861
Provider Name: LA MESA CARDIAC CENTER, A MEDICAL GROUP
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
5565 GROSSMONT CENTER DR
BLDG. 3, SUITE 455
LA MESA, CA
ZIP 91942
Phone: (619) 462-9353
Get Directions

LA MESA CARDIAC CENTER, A MEDICAL GROUP is an interventional cardiology internal medicine in La Mesa, CA. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. LA MESA CARDIAC CENTER, A MEDICAL GROUP NPI is 1689712861. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5565 GROSSMONT CENTER DR
BLDG. 3, SUITE 455
LA MESA, CA
ZIP 91942-020
Phone: (619) 462-9353
Fax: (619) 462-6935

The provider's authorized official is Ronald Keith Goldberg .
The authorized official title is Partner Physician and has the following contact phone number (619) 462-9353.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 1/8/2013.


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
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RI0011XInternal MedicineInterventional CardiologyYes

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
1W15343MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP PROVIDER ID

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.