Active NPI
Cardiovascular Imaging Medical Group
- Cardiovascular Disease Physician
- Mission Hills, CA
National Provider Identifier
1013972645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARDIOVASCULAR IMAGING MEDICAL GROUP
- Practice address
- 15031 Rinaldi St
Mission Hills, CA 91345-1207 - Phone
- (818) 782-5041
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John S Tsakonas, MD
- Title
- President
- Phone
- (818) 782-5041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
15031 Rinaldi St
Mission Hills, CA 91345-1207
Mailing address
PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0085471 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Cardiovascular Imaging Medical Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Northridge, CA
- NPI 1184689713
-
- Cardiovascular Disease Physician
- Valencia, CA
- NPI 1649235276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208736000000",
"number": "1013972645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10076",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914100076",
"telephone_number": "805-578-8300",
"fax_number": "805-578-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15031 RINALDI ST",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451207",
"telephone_number": "818-782-5041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR IMAGING MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2008-04-21",
"status": "A",
"authorized_official_last_name": "TSAKONAS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-782-5041",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0085471",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.