Pediatric Cardiac Center Inc

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

PEDIATRIC CARDIAC CENTER INC

Practice address

433 Del Norte Ave
Yuba City, CA 95991-4113

Phone

(530) 933-2736

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Iman Kahwaji, MD

Title

MD/President

Phone

(530) 933-2736

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1477019669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 DEL NORTE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914113",
            "telephone_number": "530-933-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 DEL NORTE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914113",
            "telephone_number": "530-933-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIAC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "KAHWAJI",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "530-933-2736",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Morrison Payne
• Jaime Paz
• Peach Tree Healthcare
• Peach Tree Healthcare
• Claire Ann Peach
• Khristine L Pedigo
• Brett Pedley, PA-C
• Harpreet Pegany
• Amanda Renee Pellegrino
• William Thomas Pelton, DDS

• Pediatric Cardiology Physician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.