Advanced Heart & Vascular Physicians Inc

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A693460 Issued in CA

Legal business name

ADVANCED HEART & VASCULAR PHYSICIANS INC

Practice address

4646 Brockton Ave Ste 301
Riverside, CA 92506-0103

Phone

(951) 682-6900

Fax

(951) 682-6905

NPI assigned

Jul 13, 2015

Last updated

Aug 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syed W Bokhari, M.D.NPI 1619918943

Title

Owner

Phone

(951) 682-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Syed W Bokhari, M. D.

  • Interventional Cardiology Physician
  • Riverside, CA
  • NPI 1619918943
  Medicare reassignment NPD Authorized official
• Matei Popa-Radu, D.O.

  • Cardiovascular Disease Physician
  • Riverside, CA
  • NPI 1255561726
  Medicare reassignment NPD

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1053795708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 SUNNYSIDE DR UNIT 2278",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925164013",
            "telephone_number": "951-682-6900",
            "fax_number": "951-682-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 BROCKTON AVE STE 301",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060103",
            "telephone_number": "951-682-6900",
            "fax_number": "951-682-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART & VASCULAR PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "BOKHARI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-682-6900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A693460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.