NPIMap

Organization Active NPI

Healthy Hearts Medical Group Inc

Doing business as Clinica Latino Americana

  • Family Medicine Physician
  • Panorama City, CA
National Provider Identifier
1417189341
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66698 Issued in CA
Legal business name
HEALTHY HEARTS MEDICAL GROUP INC
Doing business as
Clinica Latino Americana
Practice address
8727 Van Nuys Blvd
101
Panorama City, CA 91402-2451
Phone
(818) 892-6414
Fax
(818) 899-5969
NPI assigned
Aug 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darysouh Y Kashani, M.D.
Title
Medical Director
Phone
(818) 899-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A66698 CA Primary

Addresses

Primary practice location

8727 Van Nuys Blvd
101
Panorama City, CA 91402-2451

Mailing address

8727 Van Nuys Blvd
103
Panorama City, CA 91402-2451
Phone (818) 899-5555

Other names 1

  • CLINICA LATINO AMERICANA Doing business as

National Provider Directory

National Provider Directory

Locations

12502 Van Nuys Blvd
Ste 202
Pacoima, CA 91331

12502 Van Nuys Blvd
Ste 104
Pacoima, CA 91331

8727 Van Nuys Blvd
Ste 101
Panorama City, CA 91402
Phone (818) 405-0090

18308 Sherman Way
Ste 6
Reseda, CA 91335
Phone (818) 881-8333

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1417189341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 VAN NUYS BLVD",
            "address_2": "103",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022451",
            "telephone_number": "818-899-5555",
            "fax_number": "818-899-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 VAN NUYS BLVD",
            "address_2": "101",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022451",
            "telephone_number": "818-892-6414",
            "fax_number": "818-899-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEARTS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "KASHANI",
        "authorized_official_first_name": "DARYSOUH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-899-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA LATINO AMERICANA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.