Organization Active NPI

Cardio Vascular Plus Inc

  • Community/Retail Pharmacy
  • Riverside, CA
National Provider Identifier
1255738829
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53579 Issued in CA
Legal business name
CARDIO VASCULAR PLUS INC
Doing business as
Cardio Vascular Plus
Practice address
7891 Mission Grove Pkwy S
Suite C
Riverside, CA 92508-5056
Phone
(951) 347-9731
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Edwin Louis Dagostino
Title
President/Owner
Phone
(951) 789-4356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 53579 CA Primary

Addresses

Primary practice location

7891 Mission Grove Pkwy S
Suite C
Riverside, CA 92508-5056

Mailing address

7891 Mission Grove Pkwy S
Suite C
Riverside, CA 92508-5056
Phone (951) 347-9731

Other names 1

  • Cardio Vascular Plus Doing business as

National Provider Directory

National Provider Directory

Locations

12155 Magnolia Ave
Ste 6G
Riverside, CA 92503
Phone (800) 825-1830

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1255738829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 MISSION GROVE PKWY S",
            "address_2": "SUITE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085056",
            "telephone_number": "951-347-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 MISSION GROVE PKWY S",
            "address_2": "SUITE C",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085056",
            "telephone_number": "951-347-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO VASCULAR PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "DAGOSTINO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "951-789-4356"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardio Vascular Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.