Active NPI
Cardiac Monitoring Services, LLC
- Physiological Laboratory
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physiological Laboratory
- Durham, NC
- NPI 1497329700
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.
-
- Family Medicine Physician
- Williams, CA
- NPI 1831200526
-
- Cardiovascular Disease Physician
- Danville, PA
- NPI 1578615480
-
- Interventional Cardiology Physician
- Mooresville, NC
- NPI 1447230099
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.