Southern California Electrophysiology Associates

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A97240 Issued in CA

Legal business name

SOUTHERN CALIFORNIA ELECTROPHYSIOLOGY ASSOCIATES

Practice address

1211 W la Palma Ave
408
Anaheim, CA 92801-2815

Phone

(714) 353-3250

NPI assigned

Feb 2, 2012

Last updated

Oct 25, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Sr Director Ops

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Tax ID family

Southern Ca Electrophysiology2 organizations share this tax ID, including this one

Part of

Hamot Health Foundation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern California Electrophysiology Associates, Inc.

  • Clinical Cardiac Electrophysiology Physician
  • Anaheim, CA
  • NPI 1114248382
  NPD tax ID

Locations

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.

• Alicia Montanez, MD

  • Clinical Cardiac Electrophysiology Physician
  • Anaheim, CA
  • NPI 1326219783
  NPD (past)

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1184996423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "408",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-353-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA ELECTROPHYSIOLOGY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "SR DIRECTOR OPS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A97240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Coast Pediatrics
• South Coast Psychiatric Advanced Nursing Practice
• Southern California Alcohol & Drug Programs, Inc. (Heritage House North)
• Southern California Diagnostic Imaging, Inc.
• Southern California Doctors Prof Medical Corp (So Cal Urgent Care)
• Southern California Electrophysiology Associates, Inc.
• Southern California Kaiser Permanente
• Southern California Permanente Medical Group
• Southern Star Home Healthcare, Inc.
• Southland Dental

• Non-Pharmacy Dispensing Site in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.