Cardiology Consultants Medical Group of the Valley Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOLOGY CONSULTANTS MEDICAL GROUP OF THE VALLEY INC.

Practice address

18370 Burbank Blvd
Suite 707
Tarzana, CA 91356-2804

Phone

(818) 345-5580

Fax

(818) 345-5876

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Annette Des Baillets

Title

Chief Operating Officer

Phone

(818) 345-5580

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1376582759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "SUITE 707",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-345-5580",
            "fax_number": "818-345-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "SUITE 707",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562804",
            "telephone_number": "818-345-5580",
            "fax_number": "818-345-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CONSULTANTS MEDICAL GROUP OF THE VALLEY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "DES BAILLETS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CHIEF OPERATING  OFFICER",
        "authorized_official_telephone_number": "818-345-5580",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "1376582759",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Eric Canby, M.D.
• Cameron Royce Candies, PT, DPT
• Jennifer Cano
• Ronaldo Canonigo, PT, DPT
• Anthony Caporuscio
• Vanessa Emperatriz Cardona Rogel
• Care All Pharmacy
• Care Control Home Health Care
• Care League & Partners LLC
• Care League Medical Group, Inc

• Cardiovascular Disease Physician in Tarzana, CA
• Providers in Tarzana, 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 14, 2010; 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.