SD Premier Cardiac Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SD PREMIER CARDIAC CENTER INC

Practice address

655 Euclid Ave Ste 301
National City, CA 91950-2972

Phone

(619) 472-4900

NPI assigned

Aug 14, 2023

Last updated

Nov 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prashant H PatelNPI 1598934960

Title

Ceo

Phone

(619) 472-4900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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.

• Prashant Patel, MD

  • Cardiovascular Disease Physician
  • National City, CA
  • NPI 1598934960
  Medicare reassignment Care Compare group Authorized official
• Nirali P. Patel, M.D.

  • Internal Medicine Physician
  • National City, CA
  • NPI 1891004305
  Medicare reassignment Care Compare group
• Kanokwan Kultan

  • Acute Care Nurse Practitioner
  • San Diego, CA
  • NPI 1063028298
  NPD (past)
• Kyle Cameron Ruiz, NP

  • Acute Care Nurse Practitioner
  • Anaheim, CA
  • NPI 1962108332
  NPD (past)

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1154004497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921682201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 301",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502972",
            "telephone_number": "619-472-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD PREMIER CARDIAC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-472-4900"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dottie Ann Sazon, MD
• Corey Russell Scott, PHARM.D. AAHIVP APH
• Elizabeth Zimmerman Scott, M.D.
• Charles Leroy Scrivens II
• SD Orthotics
• Liliana Dora Segura
• Andrea Nicole Serna
• Kiara Maribel Sevilla
• Laura B Sevilla, DDS
• Roberto Manuel Sevilla, DDS

• Internal Medicine Physician in National City, CA
• Providers in National City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.