Organization Active NPI

Shearer Cardiology Medical Group, Inc.

  • Specialist
  • Glendale, CA
National Provider Identifier
1023119054
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FNP17262 Issued in CA
Legal business name
SHEARER CARDIOLOGY MEDICAL GROUP, INC.
Practice address
1577 E Chevy Chase Dr Ste 100
Glendale, CA 91206-4192
Phone
(818) 247-8331
Fax
(818) 247-3434
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Dr. Joseph F. Bornheimer, M.D.
Title
President
Phone
(818) 247-8331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X FNP17262 CA Primary

Addresses

Primary practice location

1577 E Chevy Chase Dr Ste 100
Glendale, CA 91206-4192

Mailing address

1577 E Chevy Chase Dr Ste 100
Glendale, CA 91206-4192
Phone (818) 247-8331

Other identifiers 2

IdentifierTypeStateIssuer
CP5008OtherRR MEDICARE
GR0014120MedicaidCA

National Provider Directory

National Provider Directory

Locations

1560 E Chevy Chase Dr
Ste 410
Glendale, CA 91206
Phone (818) 247-8331

1808 Verdugo Blvd
Ste 303
Glendale, CA 91208
Phone (626) 821-8444

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1023119054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064192",
            "telephone_number": "818-247-8331",
            "fax_number": "818-247-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064192",
            "telephone_number": "818-247-8331",
            "fax_number": "818-247-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEARER CARDIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "BORNHEIMER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-247-8331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "FNP17262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CP5008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0014120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.