Organization Active NPI

Cardio Vascular Plus Inc

  • Clinical Medical Laboratory
  • Riverside, CA
National Provider Identifier
1558329813
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D1030088 Issued in CA
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

Updated by the provider on Feb 5, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.