Organization Active NPI

Cardiac Monitoring Services, LLC

  • Physiological Laboratory
  • Newport Beach, CA
National Provider Identifier
1063571073
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CARDIAC MONITORING SERVICES, LLC
Practice address
1300 Quail St Ste 209
Newport Beach, CA 92660-2710
Phone
(949) 724-9777
NPI assigned
Dec 6, 2006
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Suzanne Coulston
Title
General Manager
Phone
(949) 724-9777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1300 Quail St Ste 209
Newport Beach, CA 92660-2710

Mailing address

1300 Quail St Ste 209
Newport Beach, CA 92660-2710
Phone (949) 724-9777

Other practice location 1

4819 Emperor Blvd Ste 400
Durham, NC 27703-5420
Phone (919) 313-4512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150820010253 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4284949280 Practice locations: Newport Beach, CA
O20211102000478 NC Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4284949280 Practice locations: Durham, NC

National Provider Directory

National Provider Directory
Tax ID family
Cardiac Monitoring Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2302 Martin
Ste 250
Irvine, CA 92612
Phone (949) 724-9777

1300 Quail St
Ste 209
Newport Beach, CA 92660
Phone (949) 724-9777

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1063571073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 QUAIL ST STE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602710",
            "telephone_number": "949-724-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 QUAIL ST STE 209",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602710",
            "telephone_number": "949-724-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4819 Emperor Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277035420",
            "country_code": "US",
            "telephone_number": "919-313-4512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARDIAC MONITORING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "COULSTON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "949-724-9777"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.