San Diego Heart & Medical Clinic Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G20415 Issued in CA

Legal business name

SAN DIEGO HEART & MEDICAL CLINIC INC

Practice address

3660 Clairemont Dr
Ste 6
San Diego, CA 92117

Phone

(858) 274-2560

Fax

(858) 274-1610

NPI assigned

Aug 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack J Kleid, MDNPI 1033381124

Title

Physician President

Phone

(858) 274-2560

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jack Kleid, M.D.

  • Cardiovascular Disease Physician
  • San Diego, CA
  • NPI 1033381124
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1083625016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 CLAIREMONT DR",
            "address_2": "STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92117",
            "telephone_number": "858-274-2560",
            "fax_number": "858-274-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 CLAIREMONT DR",
            "address_2": "STE 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92117",
            "telephone_number": "858-274-2560",
            "fax_number": "858-274-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO HEART & MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "KLEID",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "858-274-2560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G20415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.