Intercommunity Cardiology a Medical Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C39836 Issued in CA

Legal business name

INTERCOMMUNITY CARDIOLOGY A MEDICAL GROUP

Practice address

5471 La Palma Ave
103
La Palma, CA 90623-1745

Phone

(714) 523-7122

Fax

(714) 523-9813

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Williams

Title

Office Manager

Phone

(714) 523-7122

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Hashem M Fatemi

  • Cardiovascular Disease Physician
  • La Palma, CA
  • NPI 1346262615
  Medicare reassignment NPD
• Sami Mohammad Shoukair, M.D.

  • Cardiovascular Disease Physician
  • La Palma, CA
  • NPI 1851319560
  Medicare reassignment NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1215057443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 LA PALMA AVE",
            "address_2": "103",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231745",
            "telephone_number": "714-523-7122",
            "fax_number": "714-523-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 LA PALMA AVE",
            "address_2": "103",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231745",
            "telephone_number": "714-523-7122",
            "fax_number": "714-523-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCOMMUNITY CARDIOLOGY A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-523-7122"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C39836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah N. Hwang, M.D.
• Hyunju Lee MD a Professional Corporation
• Ana Marcela Idelfonzo
• Ilan Hartstein, MD. Inc
• Yadira Inda
• Marvi Iqbal, M.D. , MPH
• Shaheen Iqbal, M.D.
• Hope Iscariot
• Jonathan Brian Isenberg
• Ruby Marie Jaimes

• Cardiovascular Disease Physician in La Palma, CA
• Providers in La Palma, 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 Sep 13, 2016; 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.