South Coast Heart & Vascular a Medical Group Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTH COAST HEART & VASCULAR A MEDICAL GROUP INC

Practice address

3650 South St Ste 310
Lakewood, CA 90712-1519

Phone

(562) 531-1980

NPI assigned

Aug 18, 2023

Organization subpart

No

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

Authorized official

Name

Issac Eisenstein

Title

MD

Phone

(562) 598-9081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Isaac Eisenstein, M.D.

  • Cardiovascular Disease Physician
  • Lakewood, CA
  • NPI 1780649830
  Medicare reassignment NPD
• Alayn Govea, MD

  • Interventional Cardiology Physician
  • Los Angeles, CA
  • NPI 1972997104

  Cardiovascular Disease

  Medicare reassignment NPD

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1063296309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 310",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121519",
            "telephone_number": "562-531-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 310",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121519",
            "telephone_number": "562-531-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST HEART & VASCULAR A MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "EISENSTEIN",
        "authorized_official_first_name": "ISSAC",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "562-598-9081"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Song, DDS
• Erik Patrick Sorenson, PA-C
• Manuel Soto Morales
• Source Mobility Incorporated
• South Cerritos Medical Group, Inc.
• South Coast Physical Therapy
• Southern California Immediate Medical Center
• Southern California Urology Medical Group
• Sowing Seeds Behavioral Services LLC
• Kristen Spence, MSW CANDIDATE

• Cardiovascular Disease Physician in Lakewood, CA
• Providers in Lakewood, 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 Aug 18, 2023; 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.