Organization Active NPI

Cardiovascular Perfusion Systems

  • Vascular Specialist/Technologist Cardiovascular
  • Thousand Oaks, CA
National Provider Identifier
1285731307
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Specialist/Technologist CardiovascularTaxonomy code 246XC2903X
Legal business name
CARDIOVASCULAR PERFUSION SYSTEMS
Practice address
1330 Corte de Primavera
Thousand Oaks, CA 91360-7026
Phone
(805) 428-1275
Fax
(805) 523-2845
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Theodore Arthur Randolph, CCP
Title
President
Phone
(805) 428-1275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XC2903X CA Primary

Addresses

Primary practice location

1330 Corte de Primavera
Thousand Oaks, CA 91360-7026

Mailing address

1330 Corte de Primavera
Thousand Oaks, CA 91360-7026
Phone (805) 428-1275

Other identifiers 1

IdentifierTypeStateIssuer
246XC2903XOtherCATECNOLGISTS, TECHNICIANS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285731307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CORTE DE PRIMAVERA",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607026",
            "telephone_number": "805-428-1275",
            "fax_number": "805-523-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CORTE DE PRIMAVERA",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607026",
            "telephone_number": "805-428-1275",
            "fax_number": "805-523-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR PERFUSION SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-428-1275",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CCP"
    },
    "taxonomies": [
        {
            "code": "246XC2903X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TECNOLGISTS, TECHNICIANS",
            "identifier": "246XC2903X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.