Cardio-Interventional Specialists

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

20A9770 Issued in CA

Legal business name

CARDIO-INTERVENTIONAL SPECIALISTS

Practice address

5562 Philadelphia St Ste 200
Chino, CA 91710-2482

Phone

(909) 464-9119

Fax

(909) 517-9218

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Robert M Castro, MDNPI 1285777813

Title

Owner

Phone

(909) 464-9119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Robert M Castro, DO

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1285777813
  Medicare reassignment NPD Authorized official
• Joseph Gawon Chan, DO

  • Cardiovascular Disease Physician
  • Chino, CA
  • NPI 1922493139
  NPD (past)

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1154824035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5562 PHILADELPHIA ST STE 200",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102482",
            "telephone_number": "909-464-9119",
            "fax_number": "909-517-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5562 PHILADELPHIA ST STE 200",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102482",
            "telephone_number": "909-464-9119",
            "fax_number": "909-517-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO-INTERVENTIONAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-464-9119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "20A9770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guillermo Alberto Canjura Jr., D.D.S
• Karen Soledad Cano
• Canyon Ridge Hospital Inc
• Michael Cao
• Uyen Cao
• Cardio-Vascular Associates, Inc.
• Care4U HME LLC
• Carehealth Medical Corporation
• Abigail Marie Carino-Romo, N.P.
• Carl W. Smith, M.D., Inc.

• Interventional Cardiology Physician in Chino, CA
• Providers in Chino, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.