Temecula Valley Cardiology Medical Group, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC

Practice address

5256 S. Mission Road
Suite 802
Bonsall, CA 92003-3623

Phone

(760) 945-3600

Fax

(951) 514-2542

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2024By 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

Leslie Shaeffer

Title

Practice Manager

Phone

(951) 698-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Temecula Valley Cardiology Medical Group, Inc.

  • Cardiovascular Disease Physician
  • Temecula, CA
  • NPI 1801278718

  O20040603000860

  Same enrollment
• Temecula Valley Cardiology Medical Group, Inc.

  • Specialist
  • Menifee, CA
  • NPI 1811265135

  O20040603000860

  Same enrollment
• Temecula Valley Cardiology Medical Group, Inc.

  • Specialist
  • Murrieta, CA
  • NPI 1922031632

  O20040603000860

  Same enrollment

Tax ID family

Temecula Valley Cardiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Temecula Valley Cardiology Medical Group, Inc.

  • Specialist
  • Menifee, CA
  • NPI 1811265135
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61419

Practitioners 6

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.

• Brenda Gavia

  • Physician Assistant
  • Ojai, CA
  • NPI 1356098248
  NPD
• Destiny Loney

  • Medical Physician Assistant
  • Murrieta, CA
  • NPI 1609760701
  NPD
• Amy Su

  • Physician Assistant
  • San Diego, CA
  • NPI 1922674290
  NPD
• Henry M. Lo, MD

  • Cardiovascular Disease Physician
  • Anaheim, CA
  • NPI 1679644553
  NPD (past)
• Robert N Berkley, MD

  • Cardiovascular Disease Physician
  • Las Vegas, NV
  • NPI 1710092523
  NPD (past)
• Desiree Reedus, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1457437238
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1346466646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624901",
            "telephone_number": "951-698-4600",
            "fax_number": "951-514-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5256 S. MISSION ROAD",
            "address_2": "SUITE 802",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920033623",
            "telephone_number": "760-945-3600",
            "fax_number": "951-514-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "SHAEFFER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "951-698-4600"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahid Javery MD a Professional Corporation
• Michele Linden Shaw, ED.D.
• Brian M Smith, DDS
• Kerry Lynn Stavinoha
• Synergy Healing Work
• Neil W. Treister, M.D.
• Tru-Health Enterprises, Inc.
• Vance Chiropractic, Inc.
• Veterans Foundation, Inc. (Institute for Integrative Therapy)
• Victor L Kovner MD Facp

• Cardiovascular Disease Physician in Bonsall, CA
• Providers in Bonsall, 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 Jul 8, 2024; 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.