Organization Active NPI

Cardiovascular Consultants of the Inland Valley

  • Cardiovascular Disease Physician
  • Moreno Valley, CA
National Provider Identifier
1295765428
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR CONSULTANTS OF THE INLAND VALLEY
Practice address
12810 Heacock St
Suite B201
Moreno Valley, CA 92553-2854
Phone
(951) 601-2363
Fax
(951) 601-2316
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Stella Robledo
Title
Administrator
Phone
(951) 601-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X CA Primary

Addresses

Primary practice location

12810 Heacock St
Suite B201
Moreno Valley, CA 92553-2854

Mailing address

12810 Heacock St
Suite B201
Moreno Valley, CA 92553-2854
Phone (951) 601-2363

Other identifiers 1

IdentifierTypeStateIssuer
GR0071570MedicaidCA

National Provider Directory

National Provider Directory

Locations

12810 Heacock St
Ste B201
Moreno Valley, CA 92553
Phone (951) 601-2363

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1295765428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST",
            "address_2": "SUITE B201",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532854",
            "telephone_number": "951-601-2363",
            "fax_number": "951-601-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST",
            "address_2": "SUITE B201",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532854",
            "telephone_number": "951-601-2363",
            "fax_number": "951-601-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS OF THE INLAND VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ROBLEDO",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-601-2363",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.