Organization Active NPI

Venkat Warren MD Inc

  • Cardiovascular Disease Physician
  • Long Beach, CA
National Provider Identifier
1073705802
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A30187 Issued in CA
Legal business name
VENKAT WARREN MD INC
Practice address
925 E San Antonio Drive
Suite 12
Long Beach, CA 90807-2210
Phone
(562) 423-1126
Fax
(562) 423-2333
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Authorized official

Name
Dr. Venkat Warren, MD
Title
President
Phone
(562) 423-1126

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A30187 CA
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X A30187 CA Primary

Addresses

Primary practice location

925 E San Antonio Drive
Suite 12
Long Beach, CA 90807-2210

Mailing address

925 E San Antonio Drive
Suite 12
Long Beach, CA 90807-2210
Phone (562) 423-1126

National Provider Directory

National Provider Directory

Locations

925 E San Antonio Dr
Ste 12
Long Beach, CA 90807
Phone (562) 423-1126

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1073705802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E SAN ANTONIO DRIVE",
            "address_2": "SUITE 12",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072210",
            "telephone_number": "562-423-1126",
            "fax_number": "562-423-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E SAN ANTONIO DRIVE",
            "address_2": "SUITE 12",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072210",
            "telephone_number": "562-423-1126",
            "fax_number": "562-423-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENKAT WARREN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "VENKAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-423-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A30187",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A30187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.