Pacific Cardiology Consultants LLC

Key facts

NPI

1013278936

Entity type

Organization (NPI type 2)

Primary specialty

Interventional Cardiology Physician 207RI0011X

Legal business name

PACIFIC CARDIOLOGY CONSULTANTS LLC

Practice address

633 Gov Carlos G Camacho Rd
Suite 210, Guam Medical Plaza
Tamuning, GU 96913

Phone

(671) 649-1001

Fax

(671) 649-1002

NPI assigned

Jun 7, 2012

Organization subpart

No

Authorized official

Name

Terri Case

Title

RCM

Phone

(671) 488-7775

Practitioners 9

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

• Andrew Elliott Blakley, FNP-BC Family Nurse Practitioner · Dededo, GU · NPI 1992288989
  Medicare reassignment Care Compare group NPD GU
• Yoichi Inaba, M.D. Interventional Cardiology Physician · Tamuning, GU · NPI 1952550733
  Medicare reassignment Care Compare group NPD GU · MULTI-SPECIALTY
• Marvin Nogoy, APRN Family Nurse Practitioner · Tamuning, GU · NPI 1144929480
  Medicare reassignment Care Compare group NPD GU
• Deidre Chang Anastas, MD Pediatric Cardiology Physician · Rochester, NY · NPI 1265827596
  Medicare reassignment Care Compare group NPD GU
• Bishoy Elbebawy, MD Student in an Organized Health Care Education/Training Program · Flint, MI · NPI 1093176901
  Medicare reassignment Care Compare group NPD GU · INTERVENTIONAL CARDIOLOGY
• Juan Carlos Quiros, M.D. Cardiovascular Disease Physician · Anaheim, CA · NPI 1689679607
  Medicare reassignment Care Compare group NPD CARDIOVASCULAR DISEASE · GU
• Mahboob Alam, M.D. Interventional Cardiology Physician · Houston, TX · NPI 1831342641
  Medicare reassignment NPD GU · INTERNAL MEDICINE
• Alessandro Giambartolomei, MD Cardiovascular Disease Physician · Liverpool, NY · NPI 1730175241
  Medicare reassignment NPD CARDIOVASCULAR DISEASE · GU
• Nathaniel Benjamin Berg, MD Vascular & Interventional Radiology Physician · Tamuning, GU · NPI 1265646806
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GU

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 15, 2018.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1013278936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS G CAMACHO RD",
            "address_2": "SUITE 210, GUAM MEDICAL PLAZA",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133194",
            "telephone_number": "671-488-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS G CAMACHO RD",
            "address_2": "SUITE 210, GUAM MEDICAL PLAZA",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-1001",
            "fax_number": "671-649-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CARDIOLOGY CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "671-488-7775"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

• Ohimaa LLC
• Ohimaa, LLC
• Akio Oiso, M.D.
• One Love Pediatrics, LLC
• Faraz Ouhadi, M.D.
• Pacific Echocardio Laboratory Services Inc
• Pacific Hand Surgery Center
• Pacific Pulmonology Consultants
• Pacific Radiology Inc a Professional Corporation
• Pacific Urology Consultants LLC

All providers in Tamuning, GU · Interventional Cardiology Physician in Guam