West Coast Cardiovascular PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

WEST COAST CARDIOVASCULAR PC

Practice address

1640 Newport Blvd Ste 445
Costa Mesa, CA 92627-7730

Phone

(714) 241-9070

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sooraj Malay Shah, MDNPI 1902041643

Title

President

Phone

(714) 241-9070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sooraj M Shah

  • Cardiovascular Disease Physician
  • Costa Mesa, CA
  • NPI 1902041643
  Medicare reassignment Authorized official
• Jessica Brito, LCSW

  • Mental Health Counselor
  • Irvine, CA
  • NPI 1033574454
  NPD

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1356089551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 445",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277730",
            "telephone_number": "714-241-9070",
            "fax_number": "949-695-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 445",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277730",
            "telephone_number": "714-241-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9940 Talbert Ave # 101",
            "address_purpose": "LOCATION",
            "city": "Fountain Vly",
            "state": "CA",
            "postal_code": "927085153",
            "country_code": "US",
            "telephone_number": "714-241-9070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2621 S Bristol St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927045718",
            "country_code": "US",
            "telephone_number": "714-241-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST COAST CARDIOVASCULAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SOORAJ",
        "authorized_official_middle_name": "MALAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-241-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Cain Welsh, MS
• Kenneth C Wen, MD
• Mimia Wen, OD
• Loressa Kathryn Wenger, DNP, APRN FNP-C
• Kristina Lynn Wesley
• Kaylee Jewell West
• Kortni West
• Susan E West, MFC
• Whitney Taylor West, LVN
• Westcoast Speech Therapy

• Cardiovascular Disease Physician in Costa Mesa, CA
• Providers in Costa Mesa, 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 Jan 22, 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.