Organization Active NPI

North County Cardiovascular Specialists, Apmc

  • Cardiovascular Disease Physician
  • Oceanside, CA
National Provider Identifier
1003574203
Registry record updated Dec 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTH COUNTY CARDIOVASCULAR SPECIALISTS, APMC
Practice address
3907 Waring Rd Ste 3
Oceanside, CA 92056-4454
Phone
(917) 297-4634
Fax
(760) 450-9655
NPI assigned
Dec 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2021

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

Authorized official

Name
Dr. Anitha Rajamanickam, MDNPI 1225126600
Title
Ceo
Phone
(917) 297-4634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

3907 Waring Rd Ste 3
Oceanside, CA 92056-4454

Mailing address

3907 Waring Rd Ste 3
Oceanside, CA 92056-4454
Phone (760) 224-7766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220517001955 CA Part B Supplier - Clinic/Group Practice 8729465521 Receives reassigned benefits from 2 practitioners
Practice locations: Oceanside, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1638576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638576000000",
    "number": "1003574203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 WARING RD STE 3",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564454",
            "telephone_number": "760-224-7766",
            "fax_number": "760-450-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 WARING RD STE 3",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564454",
            "telephone_number": "917-297-4634",
            "fax_number": "760-450-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY CARDIOVASCULAR SPECIALISTS, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-04",
        "last_updated": "2021-12-04",
        "certification_date": "2021-12-04",
        "status": "A",
        "authorized_official_last_name": "RAJAMANICKAM",
        "authorized_official_first_name": "ANITHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-297-4634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2021; 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.