Organization Active NPI

California Cardiovascular Consultants Medical Associates

  • Cardiovascular Disease Physician
  • Milpitas, CA
National Provider Identifier
1376732966
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A54174 Issued in CA
Legal business name
CALIFORNIA CARDIOVASCULAR CONSULTANTS MEDICAL ASSOCIATES
Practice address
500 E Calaveras Blvd
Suite 100
Milpitas, CA 95035-7703
Phone
(408) 942-0980
Fax
(408) 942-0982
NPI assigned
Oct 18, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CALIFORNIA CARDIOVASCULAR CONSULTANTS MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Dr. Ashit Jain, M.D.NPI 1154344919
Title
President
Phone
(510) 796-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A54174 CA Primary

Addresses

Primary practice location

500 E Calaveras Blvd
Suite 100
Milpitas, CA 95035-7703

Mailing address

1900 Mowry Ave
Suite 309
Fremont, CA 94538-1722
Phone (510) 796-0222

Other identifiers 1

IdentifierTypeStateIssuer
GR0055253MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040205000591 CA Part B Supplier - Clinic/Group Practice 7810800083 Receives reassigned benefits from 47 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fremont, CA; Hayward, CA; Milpitas, CA; Newark, CA; San Jose, CA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1007744California Cardiovascular Consultants500 East Calaveras Blvd Suite 100, Milpitas, CA 95035Certificate of waiverDec 29, 2026

National Provider Directory

National Provider Directory
Part of
California Cardiovascular Consultant Medical Associates

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1376732966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE",
            "address_2": "SUITE 309",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E CALAVERAS BLVD",
            "address_2": "SUITE 100",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357703",
            "telephone_number": "408-942-0980",
            "fax_number": "408-942-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARDIOVASCULAR CONSULTANTS MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA CARDIOVASCULAR CONSULTANTS MEDICAL ASSOCIATES",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ASHIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-796-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A54174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0055253",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.