Organization Active NPI

Cardiaccloud Ai, Inc

  • Physiological Laboratory
  • Santa Clara, CA
National Provider Identifier
1013616200
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CARDIACCLOUD AI, INC
Practice address
4701 Patrick Henry Dr, BLDG. 19, Suite B,
Santa Clara, CA 95054-1819
Phone
(844) 522-7342
NPI assigned
Feb 27, 2023
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Sreeram Pydah
Title
Ceo
Phone
(844) 522-7342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

4701 Patrick Henry Dr, BLDG. 19, Suite B,
Santa Clara, CA 95054-1819

Mailing address

4701 Patrick Henry Dr Ste B
Santa Clara, CA 95054-1819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230919002662 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9739543034 Practice locations: Santa Clara, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1013616200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 PATRICK HENRY DR STE B",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 PATRICK HENRY DR, BLDG. 19, SUITE B,",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541819",
            "telephone_number": "844-522-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIACCLOUD AI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "PYDAH",
        "authorized_official_first_name": "SREERAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-522-7342"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.