Inland Cardiothoracic Surgical Associates Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INLAND CARDIOTHORACIC SURGICAL ASSOCIATES MEDICAL GROUP INC

Practice address

16051 Kasota Rd
Suite 900
Apple Valley, CA 92307-2215

Phone

(760) 946-8181

Fax

(760) 946-8184

NPI assigned

Jan 8, 2008

Last updated

Jan 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terri King

Title

Director

Phone

(909) 881-1614

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1306021449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE",
            "address_2": "SUITE 251",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043803",
            "telephone_number": "909-881-1614",
            "fax_number": "909-422-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16051 KASOTA RD",
            "address_2": "SUITE 900",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072215",
            "telephone_number": "760-946-8181",
            "fax_number": "760-946-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND CARDIOTHORACIC SURGICAL ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-881-1614"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.