NPIMap

Organization Active NPI

Orange County Heart Institute and Research Center a Medical Group

  • Cardiovascular Disease Physician
  • Orange, CA
National Provider Identifier
1265463608
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
W13178 Issued in CA
Legal business name
ORANGE COUNTY HEART INSTITUTE AND RESEARCH CENTER A MEDICAL GROUP
Practice address
1140 W la Veta Ave Ste 640
Orange, CA 92868-4228
Phone
(714) 564-3300
Fax
(949) 231-5108
NPI assigned
Jul 5, 2006
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Lawrence Santora, M.D.NPI 1982635645
Title
Senior Partner
Phone
(714) 564-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X W13178 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave Ste 640
Orange, CA 92868-4228

Mailing address

1140 W la Veta Ave Ste 640
Orange, CA 92868-4228
Phone (714) 564-3300

Other identifiers 1

IdentifierTypeStateIssuer
GR0064090MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040113000512 CA Part B Supplier - Clinic/Group Practice 1456251586 Receives reassigned benefits from 28 practitioners
Practice locations: Irvine, CA; Newport Beach, CA; Orange, CA; Santa Ana, CA; Anaheim, CA
O20241024003620 CA Part B Supplier - Intensive Cardiac Rehabilitation 1456251586 Receives reassigned benefits from 6 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

4050 Barranca Pkwy
Ste 110
Irvine, CA 92604
Phone (714) 771-7994

1140 W La Veta Ave
Ste 640
Orange, CA 92868
Phone (714) 543-6054

2621 S Bristol St
Ste 204
Santa Ana, CA 92704
Phone (714) 545-5170

801 N Tustin Ave
Ste 607
Santa Ana, CA 92705
Phone (714) 541-4145

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1265463608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "949-231-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684228",
            "telephone_number": "714-564-3300",
            "fax_number": "949-231-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY HEART INSTITUTE AND RESEARCH CENTER A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "SANTORA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "714-564-3300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "W13178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0064090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.