Organization Active NPI

Woodland Hills Cardiology Group, PC

  • Interventional Cardiology Physician
  • Woodland Hills, CA
National Provider Identifier
1316574890
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
WOODLAND HILLS CARDIOLOGY GROUP, PC
Practice address
Woodland Hills Cardiology Group, PC
22900 Ventura Blvd, Ste 165
Woodland Hills, CA 91364
Phone
(818) 222-1150
Fax
(818) 222-1145
NPI assigned
Mar 25, 2020
Last updated
Mar 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Rudy R Rezzadeh, M.DNPI 1861558918
Title
Owner
Phone
(818) 696-1600

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
Interventional Cardiology Physician 207RI0011X Primary

Addresses

Primary practice location

Woodland Hills Cardiology Group, PC
22900 Ventura Blvd, Ste 165
Woodland Hills, CA 91364

Mailing address

Woodland Hills Cardiology Group, PC
P O Box 5704
Beverly Hills, CA 90209-5704
Phone (818) 222-1150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200915000509 CA Part B Supplier - Clinic/Group Practice 5193143717 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

22900 Ventura Blvd
Ste 165
Woodland Hills, CA 91364
Phone (818) 222-1150

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1316574890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WOODLAND HILLS CARDIOLOGY GROUP, PC",
            "address_2": "P O BOX 5704",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902095704",
            "telephone_number": "818-222-1150",
            "fax_number": "818-222-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOODLAND HILLS CARDIOLOGY GROUP, PC",
            "address_2": "22900 VENTURA BLVD, STE 165",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-222-1150",
            "fax_number": "818-222-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND HILLS CARDIOLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "REZZADEH",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-696-1600",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.