Diamond Bar Cardiovascular Medical Group Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A44181 Issued in CA

Legal business name

DIAMOND BAR CARDIOVASCULAR MEDICAL GROUP INC

Practice address

654 N Diamond Bar Blvd
Diamond Bar, CA 91765-1037

Phone

(909) 396-8228

Fax

(909) 396-8227

NPI assigned

Oct 6, 2006

Last updated

May 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pingchu Yang

Title

Office Manager

Phone

(909) 396-8228

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Jenchen Yang, M.D., PH.D

  • Cardiovascular Disease Physician
  • Diamond Bar, CA
  • NPI 1912084534
  Medicare reassignment NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1518054048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 N DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651037",
            "telephone_number": "909-396-8228",
            "fax_number": "909-396-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 N DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651037",
            "telephone_number": "909-396-8228",
            "fax_number": "909-396-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND BAR CARDIOVASCULAR MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "PINGCHU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-396-8228"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A44181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA441811",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dermesurge Inc
• Dermesurge Inc
• Aarohi Hemang Desai, PHARMD
• Sneha Jitendra Desai
• Desiree Depace a Licensed Marriage & Family Therapist Prof Corp (A Therapist Near Me)
• Diamond Bar Dental Group
• Diamond Bar Dermatology and Laser Center
• Diamond Bar Dermatology Center
• Diamond Bar Ear Nose & Throat Specialty Medical Group, Inc.
• Diamond Bar Medical Group

• Cardiovascular Disease Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.