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SOUTHERN CALIFORNIA HEART SPECIALISTS NPI 1821055054


NPI Information

NPI: 1821055054
Provider Name: SOUTHERN CALIFORNIA HEART SPECIALISTS
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D2297938

Address:
55 E CALIFORNIA BLVD
3RD FLOOR
PASADENA, CA
ZIP 91105
Phone: (626) 793-1227
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SOUTHERN CALIFORNIA HEART SPECIALISTS is a cardiovascular disease internal medicine in Pasadena, 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. SOUTHERN CALIFORNIA HEART SPECIALISTS NPI is 1821055054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

55 E CALIFORNIA BLVD
3RD FLOOR
PASADENA, CA
ZIP 91105-954
Phone: (626) 793-1227
Fax: (626) 793-3794

The provider's authorized official is Tracy D Biggles .
The authorized official title is Business Office Manager and has the following contact phone number (626) 793-1227.

The CLIA number assigned to this NPI record is 05D2297938 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 6/17/2008.


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
1207RC0000XInternal MedicineCardiovascular DiseaseFNP23413CALIFORNIAYes

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
1ZZZ51242ZOTHERCALIFORNIABLUE SHIELD
2CI2366OTHERCALIFORNIARAIL ROAD MEDICARE
3GR0069260MEDICAIDCALIFORNIA
4W13710AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
5GR0069261MEDICAIDCALIFORNIA
6CI6769OTHERCALIFORNIARAIL ROAD MEDICARE

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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