Southern California Cardiology Medical Group Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTHERN CALIFORNIA CARDIOLOGY MEDICAL GROUP INC

Practice address

6386 Alvarado CT
Suite 101
San Diego, CA 92120-4906

Phone

(619) 265-1237

Fax

(619) 265-2142

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Alexander Pitt, MD

Title

MD President

Phone

(619) 265-1237

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578615563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204906",
            "telephone_number": "619-265-1237",
            "fax_number": "619-265-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6386 ALVARADO CT",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204906",
            "telephone_number": "619-265-1237",
            "fax_number": "619-265-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA CARDIOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "619-265-1237",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0016720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Coast Medical Supply LLC
• Aryn South
• Lauren R South, LPCC
• Chris Keith Southard, M.A.
• Southbay Urgent Care Inc
• Southern California Cardiology Medical Group, Inc.
• Southern California Compounding Pharmacy
• Southern California Gastroenterology Anesthesia Specia
• Southern California Interventional Associates, PC
• Southern California Permanente Medical Group

• Cardiovascular Disease Physician in San Diego, CA
• Providers in San Diego, 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 Aug 22, 2020; 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.