University Cardiovascular Medical Group

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

UNIVERSITY CARDIOVASCULAR MEDICAL GROUP

Practice address

1304 15TH St
Suite 102
Santa Monica, CA 90404-1809

Phone

(310) 794-1200

Fax

(310) 794-1211

NPI assigned

Aug 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jon Kobashigawa, M.D.

Title

President

Phone

(310) 794-1200

Specialties & licenses 1

Addresses

Tax ID family

University Cardiovascular Medical Group2 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.

• University Cardiovascular Medical Group

  • Medical Specialty Clinic/Center
  • Westlake Village, CA
  • NPI 1811144892
  NPD tax ID

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1346497328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "SUITE 630",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-794-1200",
            "fax_number": "310-794-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST",
            "address_2": "SUITE 102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041809",
            "telephone_number": "310-794-1200",
            "fax_number": "310-794-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CARDIOVASCULAR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "KOBASHIGAWA",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-794-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayumi Uede
• Erica Ullman
• Nicholas Ullman, MD
• Nicholas Ulrich
• Tammy Ung
• University Foot and Ankle Foundation
• University Foot and Ankle Institute a Podiatric Surgical Center
• University Plastic Surgery Associates, Inc
• University Plastic Surgery Associates, Inc.
• Katherine Unverferth, M.D.

• Medical Specialty Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.