NPIMap

Organization Active NPI

East Bay Cardiovascular and Thoracic Associates Inc.

  • Surgery Physician
  • Danville, CA
National Provider Identifier
1073647202
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EAST BAY CARDIOVASCULAR AND THORACIC ASSOCIATES INC.
Practice address
1320 El Capitan Dr
Ste 120
Danville, CA 94526-6258
Phone
(925) 676-2600
Fax
(925) 389-3102
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Dr. Murali Dharan, MDNPI 1336143882
Title
President
Phone
(925) 676-2600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1320 El Capitan Dr
Ste 120
Danville, CA 94526-6258

Mailing address

1320 El Capitan Dr
Ste 120
Danville, CA 94526-6258
Phone (925) 676-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000426 CA Part B Supplier - Clinic/Group Practice 9032290770 Receives reassigned benefits from 22 practitioners
Practice locations: Antioch, CA; Concord, CA; Danville, CA; Pleasanton, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2050695East Bay Cardiovascular and Thoracic Assoc1320 El Capitan Dr Ste 120, Danville, CA 94526Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory

Locations

3901 Lone Tree Way
Ste 311
Antioch, CA 94509

2485 High School Ave
Ste 312
Concord, CA 94520
Phone (925) 676-2600

1320 El Capitan Dr
Ste 440
Danville, CA 94526
Phone (925) 277-1117

5860 Owens Dr
Ste 110
Pleasanton, CA 94588
Phone (925) 685-7400

5860 Owens Dr
Pleasanton, CA 94588
Phone (252) 240-0770

5201 Norris Canyon Rd
Ste 330
San Ramon, CA 94583
Phone (925) 866-6778

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1073647202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 EL CAPITAN DR",
            "address_2": "STE 120",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266258",
            "telephone_number": "925-676-2600",
            "fax_number": "925-689-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 EL CAPITAN DR",
            "address_2": "STE 120",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266258",
            "telephone_number": "925-676-2600",
            "fax_number": "925-389-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY CARDIOVASCULAR AND THORACIC ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "DHARAN",
        "authorized_official_first_name": "MURALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-676-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.