Organization Active NPI

Downey Cardio- Medical Group a Professional Corporation

  • Clinical Cardiac Electrophysiology Physician
  • Downey, CA
National Provider Identifier
1003087313
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
W007 Issued in CA
Legal business name
DOWNEY CARDIO- MEDICAL GROUP A PROFESSIONAL CORPORATION
Practice address
11544 Downey Ave
Downey, CA 90241-4955
Phone
(562) 947-2464
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ananjit Singh, MD
Title
President
Phone
(562) 947-2464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X W007 CA Primary

Addresses

Primary practice location

11544 Downey Ave
Downey, CA 90241-4955

Mailing address

11544 Downey Ave
Downey, CA 90241-4955
Phone (562) 947-2464

Other identifiers 1

IdentifierTypeStateIssuer
GR0027650MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050616000607 CA Part B Supplier - Clinic/Group Practice 1355385766 Receives reassigned benefits from 1 practitioner
Practice locations: Downey, CA

National Provider Directory

National Provider Directory

Locations

3680 E Imperial Hwy
Lynwood, CA 90262
Phone (323) 769-7174

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1003087313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11544 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414955",
            "telephone_number": "562-947-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11544 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414955",
            "telephone_number": "562-947-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNEY CARDIO- MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ANANJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-947-2464",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "W007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0027650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.