Individual provider Active NPI

Arvind S Nirula, M.D.

  • Cardiovascular Disease Physician
  • Fountain Valley, CA
National Provider Identifier
1437285095
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G83998 Issued in CA
Practice address
18111 Brookhurst St # 5100
Fountain Valley, CA 92708-6728
Phone
(714) 546-2238
Fax
(714) 434-8145
NPI assigned
Feb 26, 2007
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G83998 CA Primary

Addresses

Primary practice location

18111 Brookhurst St # 5100
Fountain Valley, CA 92708-6728

Mailing address

18111 Brookhurst St # 5100
Fountain Valley, CA 92708-6728
Phone (714) 546-2238

Other identifiers 2

IdentifierTypeStateIssuer
YYY492984YMedicaidCA
W5045OtherCAMEDICARE ID

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address anirulamd16283@direct.memorialcare.org Direct MemorialCare Medical Foundation
FHIR URL https://fhir.memorialcare.org/fhir/api/FHIR/DSTU2/ Health Information Exchange (HIE) MemorialCare Medical Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080201000417 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6002882495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
California Heart AssociatesGroup PAC ID 3375519762, 13 clinicians

Practice addresses (Care Compare)

16300 Sand Canyon Ave
Suite 708
Irvine, CA 92618-3707
Phone (949) 208-6936

18111 Brookburst St
Fountain Valley, CA 92708-6728
Phone (714) 546-2238

18111 Brookhurst St
Suite 5100
Fountain Valley, CA 92708-6728

20162 SW Birch St
Suite 260
Newport Beach, CA 92660-0788
Phone (949) 236-8388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.55 of 100Reported as group
Quality
86.19
Improvement activities
40
Cost
74.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G83998CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation CurrentSince Mar 1, 2011 Accepting new patients
California Heart Associates Specialist CurrentSince Jul 1, 2001 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Pacific Cardiovascular Associates Medical Group, Inc. Past Accepting new patients
Array Skin Therapy, a Medical Corporation Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

18111 Brookhurst St
#5100
Fountain Vly, CA 92708
Phone (714) 546-2238

18111 Brookhurst St
Ste 5100
Fountain Vly, CA 92708
Phone (714) 546-2238

18561 Beach Blvd
Huntington Beach, CA 92648
Phone (714) 848-0080

9122 Adams Ave
Huntington Beach, CA 92646
Phone (714) 378-0900

16300 Sand Canyon Ave
Ste 708
Irvine, CA 92618
Phone (949) 727-3884

20162 SW Birch St
Newport Beach, CA 92660

20162 SW Birch St
Ste 260
Newport Beach, CA 92660
Phone (855) 792-7729

15464 Goldenwest St
Westminster, CA 92683
Phone (714) 891-9008

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1437285095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST # 5100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-546-2238",
            "fax_number": "714-434-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST # 5100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-546-2238",
            "fax_number": "714-434-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIRULA",
        "first_name": "ARVIND",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G83998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY492984Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "W5045",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anirulamd16283@direct.memorialcare.org",
            "affiliation": "Y",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA/XML",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.memorialcare.org/fhir/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.