Active NPI
Orange Coast Cardiology Medical Corporation
- Cardiovascular Disease Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Radhakrishan S Gandhi, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Interventional Cardiology Physician | 207RI0011X | |||
| Nuclear Cardiology Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2280722 | Orange Coast Cardiology Medical Corporation | Certificate of waiver | Apr 24, 2027 |
| 05D2288587 | Orange Coast Cardiology Medical Corporation | Certificate of waiver | Aug 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
28241 Crown Valley Pkwy
#F337
Laguna Niguel, CA 92677
Interoperability endpoints
- 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.
-
- Cardiovascular Disease Physician
- Newport Beach, CA
- NPI 1417026493
Multi-Specialty
-
- Nurse Practitioner
- Fountain Valley, CA
- NPI 1326721648
-
- Public Health & General Preventive Medicine Physician
- Fountain Valley, CA
- NPI 1639447667
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.