Active NPI
Los Angeles Cardiology Associates
- Interventional Cardiology Physician
- Upland, CA
National Provider Identifier
1407809791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- LOS ANGELES CARDIOLOGY ASSOCIATES
- Doing business as
- Los Angeles Cardiology Associates
- Practice address
- 685 N 13TH Ave
Suite 9
Upland, CA 91786-4963 - Phone
- (909) 949-3977
- Fax
- (909) 920-3054
- NPI assigned
- May 18, 2006
- 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
- Dana R Hunt
- Title
- Cfo
- Phone
- (213) 977-7418
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
685 N 13TH Ave
Suite 9
Upland, CA 91786-4963
Mailing address
1245 Wilshire Blvd
Suite 703
Los Angeles, CA 90017-4807
Phone (213) 977-0419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0025121 | Medicaid | CA |
Other names 1
- Los Angeles Cardiology Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228953600000",
"number": "1407809791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "SUITE 703",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174807",
"telephone_number": "213-977-0419",
"fax_number": "213-250-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 N 13TH AVE",
"address_2": "SUITE 9",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864963",
"telephone_number": "909-949-3977",
"fax_number": "909-920-3054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS ANGELES CARDIOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2008-12-11",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "213-977-7418"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0025121",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Los Angeles Cardiology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.