Organization Active NPI

Orange Coast Cardiology Medical Corporation

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1386214732
Registry record updated Jan 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ORANGE COAST CARDIOLOGY MEDICAL CORPORATION
Practice address
520 Superior Ave Ste 220
Newport Beach, CA 92663-3671
Phone
(949) 515-4515
Fax
(949) 515-4508
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2025

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

Authorized official

Name
Radhakrishan S Gandhi, MDNPI 1417026493
Title
President
Phone
(949) 515-4515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

520 Superior Ave Ste 220
Newport Beach, CA 92663-3671

Mailing address

28241 Crown Valley Pkwy # F337
Laguna Niguel, CA 92677-4441
Phone (949) 515-4515

Other practice location 1

19582 Beach Blvd Ste 270
Huntington Beach, CA 92648-5924
Phone (949) 515-4515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210809003694 CA Part B Supplier - Clinic/Group Practice 0547664856 Receives reassigned benefits from 2 practitioners
Practice locations: Huntington Beach, CA; Newport Beach, CA

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
05D2280722Orange Coast Cardiology Medical Corporation19582 Beach Blvd Suite 270, Huntington Beach, CA 92648Certificate of waiverApr 24, 2027
05D2288587Orange Coast Cardiology Medical Corporation520 Superior Avenue, Suite 200, Newport Beach, CA 92663Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Locations

28241 Crown Valley Pkwy
#F337
Laguna Niguel, CA 92677

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24137/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737244800000",
    "number": "1386214732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28241 CROWN VALLEY PKWY # F337",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774441",
            "telephone_number": "949-515-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633671",
            "telephone_number": "949-515-4515",
            "fax_number": "949-515-4508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19582 Beach Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926485924",
            "country_code": "US",
            "telephone_number": "949-515-4515",
            "fax_number": "949-515-4508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORANGE COAST CARDIOLOGY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-01-19",
        "certification_date": "2025-01-19",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "RADHAKRISHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-515-4515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2025; 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.