Organization Active NPI

Advanced Heart Care and Wellness Center Inc

  • Specialist
  • Buena Park, CA
National Provider Identifier
1174861991
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A47901 Issued in CA
Legal business name
ADVANCED HEART CARE AND WELLNESS CENTER INC
Practice address
8585 Knott Ave
Suite 200
Buena Park, CA 90620-3896
Phone
(714) 816-9856
Fax
(714) 821-4482
NPI assigned
Jan 29, 2013
Last updated
Jan 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Joe A Caceres, MD
Title
Medical Director
Phone
(714) 816-9856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A47901 CA Primary

Addresses

Primary practice location

8585 Knott Ave
Suite 200
Buena Park, CA 90620-3896

Mailing address

8585 Knott Ave
Suite 200
Buena Park, CA 90620-3896
Phone (714) 816-9856

Other names 1

  • Advanced Heart Care Center Other name

National Provider Directory

National Provider Directory

Locations

8585 Knott Ave
Ste 200
Buena Park, CA 90620
Phone (714) 816-9856

Practitioners & affiliated clinicians

Practitioners 1

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": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1174861991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 KNOTT AVE",
            "address_2": "SUITE 200",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203896",
            "telephone_number": "714-816-9856",
            "fax_number": "714-821-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 KNOTT AVE",
            "address_2": "SUITE 200",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203896",
            "telephone_number": "714-816-9856",
            "fax_number": "714-821-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART CARE AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "714-816-9856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A47901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Heart Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.