Organization Active NPI

La Cardiology, Inc.

  • Interventional Cardiology Physician
  • Downey, CA
National Provider Identifier
1083259220
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
LA CARDIOLOGY, INC.
Practice address
11544 Downey Ave
Downey, CA 90241-4955
Phone
(562) 414-9846
Fax
(562) 923-7209
NPI assigned
Nov 12, 2019
Last updated
Jan 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Douglas Segal, MDNPI 1881660991
Title
President
Phone
(562) 414-9846

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
Interventional Cardiology Physician 207RI0011X Primary

Addresses

Primary practice location

11544 Downey Ave
Downey, CA 90241-4955

Mailing address

11544 Downey Ave
Downey, CA 90241-4955
Phone (562) 414-9846

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200130001011 CA Part B Supplier - Clinic/Group Practice 6103252739 Receives reassigned benefits from 3 practitioners
Practice locations: Downey, CA

National Provider Directory

National Provider Directory

Locations

11546 Downey Ave
Downey, CA 90241
Phone (562) 414-9846

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": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1083259220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11544 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414955",
            "telephone_number": "562-414-9846",
            "fax_number": "562-923-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11544 DOWNEY AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414955",
            "telephone_number": "562-414-9846",
            "fax_number": "562-923-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CARDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-414-9846",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.