NPIMap

Organization Active NPI

Cardiovascular Consultants Medical Group

  • Specialist
  • Encino, CA
National Provider Identifier
1427035617
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FNP7299 Issued in CA
Legal business name
CARDIOVASCULAR CONSULTANTS MEDICAL GROUP
Practice address
16542 Ventura Blvd Ste 402
Encino, CA 91436-4562
Phone
(818) 782-5041
Fax
(818) 205-9091
NPI assigned
Dec 28, 2005
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Kimberley A Litke
Title
Asst Administrator
Phone
(818) 782-5041

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FNP7299 CA Primary
Cardiovascular Disease Physician 207RC0000X CA
Clinical Cardiac Electrophysiology Physician 207RC0001X CA
Interventional Cardiology Physician 207RI0011X CA
Nuclear Cardiology Physician 207UN0901X CA

Addresses

Primary practice location

16542 Ventura Blvd Ste 402
Encino, CA 91436-4562

Mailing address

16542 Ventura Blvd Ste 402
Encino, CA 91436-4562
Phone (818) 782-5041

Other identifiers 3

IdentifierTypeStateIssuer
GR0026711MedicaidCA
GR0026712MedicaidCA
GR0026710MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klitke@cardiacconsultants.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525000844 CA Part B Supplier - Clinic/Group Practice 5991786105 Receives reassigned benefits from 13 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Encino, CA; Los Angeles, CA; Mission Hills, CA; Valencia, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

15243 Vanowen St
Ste 301
Van Nuys, CA 91405
Phone (818) 782-5041

Interoperability endpoints

  • Direct secure messaging: abhisheksinha@carcmg.allscriptsdirect.net
  • Direct secure messaging: aratilkian@carcmg.allscriptsdirect.net
  • Direct secure messaging: ashishaggarwal@carcmg.allscriptsdirect.net
  • Direct secure messaging: danielfazzino@carcmg.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75951
  • Direct secure messaging: isaacwiener@carcmg.allscriptsdirect.net
  • Direct secure messaging: jayantadas@carcmg.allscriptsdirect.net
  • Direct secure messaging: johntsakonas@carcmg.allscriptsdirect.net
  • Direct secure messaging: kennethtam@carcmg.allscriptsdirect.net
  • Direct secure messaging: ladanhakimjavadi@carcmg.allscriptsdirect.net
  • Direct secure messaging: leokassabian@carcmg.allscriptsdirect.net
  • Direct secure messaging: mganesapandian@carcmg.allscriptsdirect.net
  • Direct secure messaging: shahegarabedian@carcmg.allscriptsdirect.net
  • Direct secure messaging: shervinsadrpour@carcmg.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1427035617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364562",
            "telephone_number": "818-782-5041",
            "fax_number": "818-205-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364562",
            "telephone_number": "818-782-5041",
            "fax_number": "818-205-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "LITKE",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASST ADMINISTRATOR",
        "authorized_official_telephone_number": "818-782-5041"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "FNP7299",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0026711",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0026712",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0026710",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klitke@cardiacconsultants.com",
            "affiliation": "N",
            "address_1": "16542 Ventura Blvd Ste 402",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914364562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.

Verify at the official NPI Registry.