Active NPI
Cardio Vascular Plus Inc
- Clinical Medical Laboratory
- Riverside, CA
National Provider Identifier
1558329813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D1030088
- Legal business name
- CARDIO VASCULAR PLUS INC
- Practice address
- 7893 Mission Grove Pkwy S
Suite B
Riverside, CA 92508-5087 - Phone
- (951) 789-4356
- Fax
- (951) 789-4294
- NPI assigned
- May 3, 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
- Mr. Edwin Louis Dagostino
- Title
- President
- Phone
- (951) 789-4356
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 05D1030088 | CA | Primary |
| Clinical Medical Laboratory | 291U00000X | CLR332061 | CA | |
| Blood Bank | 331L00000X | SR EH 52034861 | CA | |
| Customized Equipment (DME) | 332BC3200X | SR EH 52-034861 | CA |
Addresses
Primary practice location
7893 Mission Grove Pkwy S
Suite B
Riverside, CA 92508-5087
Mailing address
18700 Newman Ave
Riverside, CA 92508-9446
Phone (951) 789-4356
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391558400000",
"number": "1558329813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18700 NEWMAN AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925089446",
"telephone_number": "951-789-4356",
"fax_number": "951-789-4294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7893 MISSION GROVE PKWY S",
"address_2": "SUITE B",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925085087",
"telephone_number": "951-789-4356",
"fax_number": "951-789-4294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIO VASCULAR PLUS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2014-02-05",
"status": "A",
"authorized_official_last_name": "DAGOSTINO",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "LOUIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-789-4356",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "05D1030088",
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "CLR332061",
"primary": false
},
{
"code": "331L00000X",
"taxonomy_group": "",
"desc": "Blood Bank",
"state": "CA",
"license": "SR EH 52034861",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "CA",
"license": "SR EH 52-034861",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.