Northern Nevada Cardiology PC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

NORTHERN NEVADA CARDIOLOGY PC

Practice address

1850 Spring Ridge Dr
Suite B
Susanville, CA 96130-6100

Phone

(775) 356-4514

NPI assigned

Sep 18, 2013

Last updated

Oct 30, 2023By 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

Dr. Michael Nduati

Title

President

Phone

(951) 200-7385

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1225464548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SPRING RIDGE DR",
            "address_2": "SUITE B",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961306100",
            "telephone_number": "775-356-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "NDUATI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-200-7385",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1293740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Nielsen
• Timothy J Nolan, PH.D.
• Scott Douglas Nordstrom, LCSW
• Sarah Jennifer North, BSN, RN
• Northeastern Rural Health Clinics
• Ross Hudson Northrop, DDS
• Northstar Imaging Medical Group, Inc.
• Northstar Radiology - California
• Robert Ellis O'Bryan, MFT
• Terri Kathleen O'Bryan, ACSW

• Interventional Cardiology Physician in Susanville, CA
• Providers in Susanville, 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 Oct 30, 2023; 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.