Active NPI
California Cardiovascular Consultants
- Internal Medicine Physician
- San Leandro, CA
National Provider Identifier
1033308614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A53282
- Legal business name
- CALIFORNIA CARDIOVASCULAR CONSULTANTS
- Practice address
- 1532 150TH Ave
San Leandro, CA 94578-1823 - Phone
- (510) 351-6363
- Fax
- (510) 278-3757
- NPI assigned
- Oct 18, 2007
- Organization subpart
- Yes
- Parent organization
- CALIFORNIA CARDIOVASCULAR CONSULTANTS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashit Jain, M.D.
- Title
- Ceo
- Phone
- (510) 351-6363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A53282 | CA | Primary |
Addresses
Primary practice location
1532 150TH Ave
San Leandro, CA 94578-1823
Mailing address
1532 150TH Ave
San Leandro, CA 94578-1823
Phone (510) 351-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0055252 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040205000591 | CA | Part B Supplier - Clinic/Group Practice | 7810800083 |
Receives reassigned benefits from 47 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fremont, CA; Hayward, CA; Milpitas, CA; Newark, CA; San Jose, CA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1932202959
O20040205000591
-
- Cardiovascular Disease Physician
- Milpitas, CA
- NPI 1376732966
O20040205000591
-
- Internal Medicine Physician
- Newark, CA
- NPI 1538358122
O20040205000591
-
- Internal Medicine Physician
- Hayward, CA
- NPI 1922297514
O20040205000591
National Provider Directory
National Provider Directory- Part of
- Ca Cardiovascular Consul
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1932202959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384992000000",
"number": "1033308614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 150TH AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781823",
"telephone_number": "510-351-6363",
"fax_number": "510-278-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 150TH AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781823",
"telephone_number": "510-351-6363",
"fax_number": "510-278-3757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA CARDIOVASCULAR CONSULTANTS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CALIFORNIA CARDIOVASCULAR CONSULTANTS",
"enumeration_date": "2007-10-18",
"last_updated": "2013-11-21",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "ASHIT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "510-351-6363",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A53282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0055252",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.