NPIMap

Organization Active NPI

San Diego Heart Arrhythmia Center, AMC

  • Clinical Cardiac Electrophysiology Physician
  • San Diego, CA
National Provider Identifier
1447751227
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A113870 Issued in CA
Legal business name
SAN DIEGO HEART ARRHYTHMIA CENTER, AMC
Practice address
501 Washington St Ste 512
San Diego, CA 92103
Phone
(619) 297-1014
NPI assigned
Feb 27, 2018
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Dr. Tuan Van Mai, MDNPI 1326280231
Title
Chief Executive Officer
Phone
(619) 297-0014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A113870 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X A113870 CA Primary

Addresses

Primary practice location

501 Washington St Ste 512
San Diego, CA 92103

Mailing address

501 Washington St Ste 512
San Diego, CA 92103-2238
Phone (619) 297-0014

Other practice location 1

230 Prospect Pl Ste 250
Coronado, CA 92118-1978
Phone (619) 435-1660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180517000622 CA Part B Supplier - Clinic/Group Practice 7719242924 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

230 Prospect Pl
#250
Coronado, CA 92118
Phone (619) 297-0014

230 Prospect Pl
Ste 250
San Diego, CA 92118
Phone (619) 435-1660

Practitioners & affiliated clinicians

Practitioners 10

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": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1447751227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON ST STE 512",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032238",
            "telephone_number": "619-297-0014",
            "fax_number": "619-297-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON ST STE 512",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-297-1014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Prospect Pl Ste 250",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181978",
            "country_code": "US",
            "telephone_number": "619-435-1660",
            "fax_number": "619-435-6312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAN DIEGO HEART ARRHYTHMIA CENTER, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-297-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A113870",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A113870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.