Individual provider Active NPI

Christine Marie Theard, M.D.

  • Cardiovascular Disease Physician
  • Laguna Niguel, CA
National Provider Identifier
1356410740
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C50353 Issued in CA
Practice address
30131 Town Center Drive
Suite # 237
Laguna Niguel, CA 92677
Phone
(949) 495-0800
Fax
(949) 495-0805
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C50353 CA Primary

Addresses

Primary practice location

30131 Town Center Drive
Suite # 237
Laguna Niguel, CA 92677

Mailing address

30131 Town Center Drive
Suite # 237
Laguna Niguel, CA 92677
Phone (949) 495-0800

Other identifiers 1

IdentifierTypeStateIssuer
C50353OtherCASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000743 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2961395207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Baylor College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33971 Selva Rd
Suite 250
Dana Point, CA 92629-3734
Phone (949) 495-0800

Merit-based Incentive Payment System (MIPS)

Final score
71.99 of 100Reported as individual
Quality
55.92
Improvement activities
40
Cost
65.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Heart Center a Professional Medical Corp CurrentSince Feb 1, 2001 Accepting new patients
TMS Neurohealth West Professional Medical Corporation Past Accepting new patients
Saddleback Memorial Medical Center PastSince Feb 1, 2001 Accepting new patients

Locations

33971 Selva Rd
Ste 250
Dana Point, CA 92629
Phone (949) 495-0800

34052 La Plaza
Ste 101
Dana Point, CA 92629
Phone (949) 481-8790

30131 Town Center Dr
Ste 237
Laguna Niguel, CA 92677
Phone (949) 495-0800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1356410740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DRIVE",
            "address_2": "SUITE # 237",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-495-0800",
            "fax_number": "949-495-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DRIVE",
            "address_2": "SUITE # 237",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-495-0800",
            "fax_number": "949-495-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEARD",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C50353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "C50353",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.