Cardiovascular Care Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

43242 Issued in CA

Legal business name

CARDIOVASCULAR CARE INC

Practice address

3801 Katella Avenue
Suite 401
Los Alamitos, CA 90720-3375

Phone

(562) 598-3200

Fax

(562) 598-1945

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James R Licht, MD

Title

President

Phone

(562) 598-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 6

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

• Nabil Charle Morcos, M.D., PH.D.

  • Cardiovascular Disease Physician
  • Santa Ana, CA
  • NPI 1285656835
  Medicare reassignment Care Compare group NPD
• Arnold Hoo Seto, M.D.

  • Interventional Cardiology Physician
  • Orange, CA
  • NPI 1215081807

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Bruce Edwin Vannatta, MD

  • Interventional Cardiology Physician
  • Los Alamitos, CA
  • NPI 1629074877

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Najmul Islam Siddiqi

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1407003916

  CA

  Medicare reassignment Care Compare group NPD
• Fernando Mendoza, M.D.

  • Cardiovascular Disease Physician
  • Los Alamitos, CA
  • NPI 1063637320
  Medicare reassignment Care Compare group
• Adrian Harry Shandling, MD

  • Cardiovascular Disease Physician
  • Los Alamitos, CA
  • NPI 1386640522
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1295877546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVENUE",
            "address_2": "SUITE 401",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203375",
            "telephone_number": "562-598-3200",
            "fax_number": "562-598-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVENUE",
            "address_2": "SUITE 401",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203375",
            "telephone_number": "562-598-3200",
            "fax_number": "562-598-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "LICHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-598-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "43242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lindsay Campbell
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• Carol Ann R. Caesar, Psychologist Apc
• Carina Elizabeth Carpiet
• Grace Carrillo
• Caitlin Alexis Carson
• Frank C Caruana, DPM

• Cardiovascular Disease Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.