Organization Active NPI

Diagnostic Heart Center, Inc

  • Cardiovascular Disease Physician
  • Arcadia, CA
National Provider Identifier
1497779011
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A43033 Issued in CA
Legal business name
DIAGNOSTIC HEART CENTER, INC
Practice address
624 W Duarte Rd
Suite 207
Arcadia, CA 91007-7603
Phone
(626) 446-5800
Fax
(626) 446-0214
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Mir Basharat Ali, M.D.
Title
President
Phone
(626) 446-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A43033 CA Primary

Addresses

Primary practice location

624 W Duarte Rd
Suite 207
Arcadia, CA 91007-7603

Mailing address

624 W Duarte Rd
Suite 207
Arcadia, CA 91007-7603
Phone (626) 446-5800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060907000387 CA Part B Supplier - Clinic/Group Practice 3779587662 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

624 W Duarte Rd
Ste 207
Arcadia, CA 91007
Phone (626) 446-5800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1497779011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD",
            "address_2": "SUITE 207",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077603",
            "telephone_number": "626-446-5800",
            "fax_number": "626-446-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD",
            "address_2": "SUITE 207",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077603",
            "telephone_number": "626-446-5800",
            "fax_number": "626-446-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC HEART CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MIR",
        "authorized_official_middle_name": "BASHARAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-446-5800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A43033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.