Organization Active NPI

Lancaster Cardiology Medical Group Inc

  • Specialist
  • Ridgecrest, CA
National Provider Identifier
1427227735
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A31143 Issued in CA
Legal business name
LANCASTER CARDIOLOGY MEDICAL GROUP INC
Practice address
1535 N China Lake Blvd Ste B
Ridgecrest, CA 93555-2667
Phone
(760) 446-1699
Fax
(661) 726-3738
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Mr. Hari Chandran
Title
Business Manager
Phone
(661) 726-3058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A31143 CA Primary

Addresses

Primary practice location

1535 N China Lake Blvd Ste B
Ridgecrest, CA 93555-2667

Mailing address

43860 10TH St W
Lancaster, CA 93534-4848
Phone (661) 726-3058

National Provider Directory

National Provider Directory

Locations

43860 10th St W
Lancaster, CA 93534
Phone (661) 726-3058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1427227735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43860 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344848",
            "telephone_number": "661-726-3058",
            "fax_number": "661-726-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N CHINA LAKE BLVD STE B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552667",
            "telephone_number": "760-446-1699",
            "fax_number": "661-726-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER CARDIOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "CHANDRAN",
        "authorized_official_first_name": "HARI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "661-726-3058",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A31143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.