Inland Empire Pediatric Cardiology

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

INLAND EMPIRE PEDIATRIC CARDIOLOGY

Practice address

15632 Bear Valley Rd Ste 106
Victorville, CA 92395-8518

Phone

(760) 221-1318

NPI assigned

Nov 3, 2023

Organization subpart

No

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

Authorized official

Name

Hani Ghawi, MD, MSC, FAAP, FASENPI 1841486263

Title

Owner

Phone

(760) 221-1318

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hani S Ghawi, MD

  • Pediatric Cardiology Physician
  • San Bernardino, CA
  • NPI 1841486263
  NPD Authorized official

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1487427142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15632 BEAR VALLEY RD STE 106",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958518",
            "telephone_number": "760-221-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15632 BEAR VALLEY RD STE 106",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958518",
            "telephone_number": "760-221-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10837 Laurel St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307668",
            "country_code": "US",
            "telephone_number": "760-221-1318",
            "fax_number": "760-462-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INLAND EMPIRE PEDIATRIC CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "GHAWI",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-221-1318",
        "authorized_official_credential": "MD, MSC, FAAP, FASE"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Cardiology Physician in Victorville, CA
• Providers in Victorville, 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 Nov 18, 2024; 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.