Escondido Cardiology Associates Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ESCONDIDO CARDIOLOGY ASSOCIATES MEDICAL GROUP, INC.

Practice address

488 E Valley Pkwy
Suite 201
Escondido, CA 92025-3363

Phone

(760) 743-0546

Fax

(760) 743-8837

NPI assigned

Feb 6, 2006

Last updated

Aug 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John H Detwiler, M.D.NPI 1154324036

Title

President

Phone

(760) 743-0546

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

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.

• John H Detwiler, M.D.

  • Cardiovascular Disease Physician
  • Escondido, CA
  • NPI 1154324036
  NPD (past) Authorized official
• Hamed Bayat, M.D.

  • Interventional Cardiology Physician
  • Escondido, CA
  • NPI 1356344196
  NPD (past)
• Christopher R Gilbert, M.D.

  • Interventional Cardiology Physician
  • Escondido, CA
  • NPI 1487657243
  NPD (past)
• Daniel F Mulvihill, M.D.

  • Interventional Cardiology Physician
  • Poway, CA
  • NPI 1124021969
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1437121183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY",
            "address_2": "SUITE 201",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253363",
            "telephone_number": "760-743-0546",
            "fax_number": "760-743-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY",
            "address_2": "SUITE 201",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253363",
            "telephone_number": "760-743-0546",
            "fax_number": "760-743-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESCONDIDO CARDIOLOGY ASSOCIATES MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "DETWILER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-743-0546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CU0135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ70943Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ70943Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arianna Escobar Smith, LM
• Maya Escobedo
• Escondido Anesthesia Associates LP
• Escondido Ca Endoscopy ASC LP (Parkway Endoscopy Center)
• Escondido Ca Endoscopy ASC LP (Parkway Endoscopy Center)
• Escondido Dermatology, Inc a Professional Corporation
• Escondido Education Compact
• Escondido Elder Care, LLC (Escondido Elder Care)
• Escondido Emergency Physicians, Inc
• Escondido Endodontics Inc

• Specialist in Escondido, CA
• Providers in Escondido, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.