Organization Active NPI

Pediatric Cardiology Associates

  • Pediatric Cardiology Physician
  • San Jose, CA
National Provider Identifier
1376857557
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
AL2682551 Issued in CA
Legal business name
PEDIATRIC CARDIOLOGY ASSOCIATES
Practice address
1688 Willow St Ste C
San Jose, CA 95125-5109
Phone
(408) 448-2817
Fax
(408) 448-4807
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Rhonda S Lappen, MD
Title
President
Phone
(408) 448-2817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X AL2682551 CA Primary

Addresses

Primary practice location

1688 Willow St Ste C
San Jose, CA 95125-5109

Mailing address

1688 Willow St Ste C
San Jose, CA 95125-5109
Phone (408) 448-2817

National Provider Directory

National Provider Directory

Locations

1688 Willow St
Ste C
San Jose, CA 95125
Phone (408) 356-1364

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1376857557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 WILLOW ST STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255109",
            "telephone_number": "408-448-2817",
            "fax_number": "408-448-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 WILLOW ST STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255109",
            "telephone_number": "408-448-2817",
            "fax_number": "408-448-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "LAPPEN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-448-2817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "AL2682551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.