Active NPI
Radin Cardiovascular Medical Group Inc
- Cardiovascular Disease Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G56739
- Legal business name
- RADIN CARDIOVASCULAR MEDICAL GROUP INC
- Practice address
- 1501 Superior Ave
#312
Newport Beach, CA 92663-3600 - Phone
- (949) 722-7555
- Fax
- (949) 515-3937
- NPI assigned
- Apr 6, 2012
- 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
- Michael M Radin, M.D.
- Title
- Owner
- Phone
- (949) 722-7555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G56739 | CA | Primary |
Addresses
Primary practice location
1501 Superior Ave
#312
Newport Beach, CA 92663-3600
Mailing address
1501 Superior Ave
#312
Newport Beach, CA 92663-3600
Phone (949) 722-7555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GC590A | Other | CA | MEDICARE P-TAN |
| G56739 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2058353 | Radin Cardiovascular Medical Group Inc | Certificate of waiver | May 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
1501 Superior Ave
Ste 312
Newport Beach, CA 92663
Phone (949) 722-7555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Newport Beach, CA
- NPI 1407812449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399248000000",
"number": "1598021248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "#312",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633600",
"telephone_number": "949-722-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SUPERIOR AVE",
"address_2": "#312",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633600",
"telephone_number": "949-722-7555",
"fax_number": "949-515-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIN CARDIOVASCULAR MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-06",
"last_updated": "2014-05-05",
"status": "A",
"authorized_official_last_name": "RADIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-722-7555",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G56739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE P-TAN",
"identifier": "GC590A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G56739",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.