Central Valley Cardiovascular Associates Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A80313 Issued in CA

Legal business name

CENTRAL VALLEY CARDIOVASCULAR ASSOCIATES INC

Practice address

1148 Norman Dr
Suite 2
Manteca, CA 95336-5961

Phone

(209) 942-1005

Fax

(209) 239-7842

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Venkata Emani, MD

Title

Owner

Phone

(209) 465-0123

Specialties & licenses 1

Addresses

Locations

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)…

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEBFBA

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1144572553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7065",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670065",
            "telephone_number": "209-942-1005",
            "fax_number": "209-239-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 NORMAN DR",
            "address_2": "SUITE 2",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365961",
            "telephone_number": "209-942-1005",
            "fax_number": "209-239-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY CARDIOVASCULAR ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "EMANI",
        "authorized_official_first_name": "VENKATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-465-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A80313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah J Castro, AMFT, APCC
• Chanai Catarich, CD,PCD
• Geraldine Cruz Ceballos, MS
• Center for Sight of Stockton a Medical Corporation (Philip Edington, MD)
• Center St LLC
• Central Valley Eye Medical Group Inc.
• Central Valley Imaging Medical Assoc, Inc
• Central Valley Imaging Medical Associates Inc
• Central Valley Imaging Medical Associates Inc
• Central Valley Imaging Medical Associates Inc

• Cardiovascular Disease Physician in Manteca, CA
• Providers in Manteca, 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 Feb 21, 2013; 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.