Organization Active NPI

Los Angeles Cardiology Associates

  • Interventional Cardiology Physician
  • Upland, CA
National Provider Identifier
1407809791
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
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

Updated by the provider on Dec 11, 2008

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GR0025121MedicaidCA

Other names 1

  • Los Angeles Cardiology Associates Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.