Active NPI
Interventional Cardiology Medical Group, Inc
- Cardiovascular Disease Physician
- West Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC
- Practice address
- 7301 Medical Center Dr Ste 201
West Hills, CA 91307-1935 - Phone
- (818) 702-8800
- Fax
- (818) 702-0080
- NPI assigned
- Feb 15, 2006
- Last updated
- Jul 7, 2025
- 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
- Lacie Connolly
- Title
- Director of Operations & Devlopment
- Phone
- (818) 702-8800
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | CA | Primary | |
| Interventional Cardiology Physician | 207RI0011X | CA | ||
| Nuclear Imaging & Therapy Physician | 207UN0902X | CA |
Addresses
Primary practice location
7301 Medical Center Dr Ste 201
West Hills, CA 91307-1935
Mailing address
7301 Medical Center Dr Ste 201
West Hills, CA 91307-1935
Phone (818) 702-8800
Other practice location 1
227 W Janss Rd Ste 310
Thousand Oaks, CA 91360-1889
Phone (805) 576-7533
Other practice location 2
2230 Lynn Rd Ste 101
Thousand Oaks, CA 91360-1917
Phone (805) 576-7533
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 |
|---|---|---|---|
| 05D0963455 | Interventional Cardiology Medical Group Inc | Certificate of waiver | Jul 28, 2027 |
| 05D2325167 | Interventional Cardiology Medical Group, Inc | Certificate of waiver | Jun 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
2230 Lynn Rd
Ste 101
Thousand Oaks, CA 91360
Phone (805) 557-9930
7230 Medical Center Dr
Ste 400
West Hills, CA 91307
Phone (818) 251-1965
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 15
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.
-
- Interventional Cardiology Physician
- West Hills, CA
- NPI 1275507352
Cardiovascular Disease
-
- Interventional Cardiology Physician
- West Hills, CA
- NPI 1659309334
Cardiovascular Disease
-
- Clinical Cardiac Electrophysiology Physician
- West Hills, CA
- NPI 1962899823
Cardiovascular Disease
-
- Medical Physician Assistant
- Reseda, CA
- NPI 1770273666
-
- Interventional Cardiology Physician
- West Hills, CA
- NPI 1174918536
-
- Cardiovascular Disease Physician
- West Hills, CA
- NPI 1740433705
-
- Cardiovascular Disease Physician
- Thousand Oaks, CA
- NPI 1750449856
-
- Acupuncturist
- West Hills, CA
- NPI 1861798209
-
- Cardiovascular Disease Physician
- Laguna Hills, CA
- NPI 1215181722
-
- Acupuncturist
- West Hills, CA
- NPI 1235320037
-
- Sleep Medicine (Internal Medicine) Physician
- Thousand Oaks, CA
- NPI 1336162957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751846400000",
"number": "1396719480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 MEDICAL CENTER DR STE 201",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071935",
"telephone_number": "818-702-8800",
"fax_number": "818-702-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 MEDICAL CENTER DR STE 201",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913071935",
"telephone_number": "818-702-8800",
"fax_number": "818-702-0080"
}
],
"practiceLocations": [
{
"address_1": "227 W Janss Rd Ste 310",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913601889",
"country_code": "US",
"telephone_number": "805-576-7533",
"fax_number": "818-702-0080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2230 Lynn Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Thousand Oaks",
"state": "CA",
"postal_code": "913601917",
"country_code": "US",
"telephone_number": "805-576-7533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A",
"authorized_official_last_name": "CONNOLLY",
"authorized_official_first_name": "LACIE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS & DEVLOPMENT",
"authorized_official_telephone_number": "818-702-8800"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.