Cardiology Associates Medical Group of East San Diego Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOLOGY ASSOCIATES MEDICAL GROUP OF EAST SAN DIEGO INC

Practice address

5555 Reservoir Drive
Suite 209
San Diego, CA 92120

Phone

(619) 582-2404

Fax

(619) 582-2915

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Patricia Ann Evans

Title

Secretary & Treasurer

Phone

(619) 582-2780

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1023296092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DRIVE",
            "address_2": "SUITE 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92120",
            "telephone_number": "619-582-2404",
            "fax_number": "619-582-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DRIVE",
            "address_2": "SUITE 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92120",
            "telephone_number": "619-582-2404",
            "fax_number": "619-582-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES MEDICAL GROUP OF EAST SAN DIEGO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY & TREASURER",
        "authorized_official_telephone_number": "619-582-2780"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ74366",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Cardillo
• Stefanie Elizabeth Cardin
• Rene Calampinay Cardinal, IDC
• Karalyn Cardinale Hingorani, PCCI
• Nicholas M. Cardinale, M.D..
• Cardiovascular and Stem Cell Consultants PC
• Dallin Robert Cardon, DMD
• Nicole Cardon, MA ATC
• Alycia L Cardona
• Elizabeth Cardona

• Cardiovascular Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.