Active NPI
Ambulatory Pacemaker Clinic Inc
- Cardiology Technician
- Rancho Cucamonga, CA
National Provider Identifier
1386856292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiology Technician
- Legal business name
- AMBULATORY PACEMAKER CLINIC INC
- Practice address
- 7678 Zircon Ave
Rancho Cucamonga, CA 91730 - Phone
- (909) 982-9121
- Fax
- (909) 982-9011
- NPI assigned
- May 4, 2007
- Last updated
- Oct 31, 2016
- 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
- Mrs. Dimitri Hunter
- Title
- Ceo
- Phone
- (909) 982-9121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiology Technician | 246W00000X | CA | Primary |
Addresses
Primary practice location
7678 Zircon Ave
Rancho Cucamonga, CA 91730
Mailing address
7678 Zircon Ave
Rancho Cucamonga, CA 91730-2026
Phone (909) 982-9121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050830001062 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6507897485 | Practice locations: Rancho Cucamonga, CA |
National Provider Directory
National Provider DirectoryLocations
388 E Foothill Blvd
Upland, CA 91786
Phone (909) 982-9121
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.
-
- Cardiovascular Disease Physician
- Rancho Cucamonga, CA
- NPI 1528014172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477872000000",
"number": "1386856292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7678 ZIRCON AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917302026",
"telephone_number": "909-982-9121",
"fax_number": "909-982-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7678 ZIRCON AVE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-982-9121",
"fax_number": "909-982-9011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY PACEMAKER CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2016-10-31",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "DIMITRI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-982-9121",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "246W00000X",
"taxonomy_group": "",
"desc": "Technician, Cardiology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.