Active NPI
Cascade Cardiovascular Surgery Inc
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Stockton, CA
National Provider Identifier
1346727682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- CASCADE CARDIOVASCULAR SURGERY INC
- Practice address
- 1617 N California St Ste 1D
Stockton, CA 95204-6117 - Phone
- (209) 948-1234
- NPI assigned
- Jul 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Stowell, MD
- Title
- Owner
- Phone
- (209) 948-1234
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Trauma Surgery Physician | 2086S0127X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
1617 N California St Ste 1D
Stockton, CA 95204-6117
Mailing address
1617 N California St Ste 1D
Stockton, CA 95204-6117
Phone (209) 948-1234
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1346727682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 N CALIFORNIA ST STE 1D",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046117",
"telephone_number": "209-948-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 N CALIFORNIA ST STE 1D",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046117",
"telephone_number": "209-948-1234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE CARDIOVASCULAR SURGERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-19",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "STOWELL",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-948-1234",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.