Active NPI
Malcolm S Pond MD Inc & Chiayu Chen MD PTR Cardiology Associates
- Cardiovascular Disease Physician
- Riverside, CA
National Provider Identifier
1457314262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- MALCOLM S POND MD INC & CHIAYU CHEN MD PTR CARDIOLOGY ASSOCIATES
- Practice address
- 4500 Brockton Ave Ste 203
Riverside, CA 92501-4006 - Phone
- (951) 686-3600
- Fax
- (951) 686-1162
- NPI assigned
- Apr 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chiayu Chen, MD
- Title
- Managing Partner
- Phone
- (951) 686-3600
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
4500 Brockton Ave Ste 203
Riverside, CA 92501-4006
Mailing address
4500 Brockton Ave Ste 203
Riverside, CA 92501-4006
Phone (951) 686-3600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0057770 | Medicaid | CA | |
| CP4058 | Other | CA | RAILROAD MEDICARE |
Other names 1
- Riverside Cardiology Associates Med. Grp.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0939550 | Riverside Cardiology Associates | Certificate of waiver | Jan 27, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Riverside, CA
- NPI 1073896544
-
- Interventional Cardiology Physician
- Riverside, CA
- NPI 1932304813
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561334400000",
"number": "1457314262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 BROCKTON AVE STE 203",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014006",
"telephone_number": "951-686-3600",
"fax_number": "951-686-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 BROCKTON AVE STE 203",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014006",
"telephone_number": "951-686-3600",
"fax_number": "951-686-1162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALCOLM S POND MD INC & CHIAYU CHEN MD PTR CARDIOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2019-06-24",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "CHIAYU",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "951-686-3600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0057770",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP4058",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Riverside Cardiology Associates Med. Grp.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Riverside Cardiology Associates Med. Grp.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.