Andrew J Maxwell, M.D. Inc

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

A48667 Issued in CA

Legal business name

ANDREW J MAXWELL, M.D. INC

Doing business as

Heart of the Valley Pediatric Cardiology

Practice address

5933 Coronado LN
Suite 104
Pleasanton, CA 94588-8597

Phone

(925) 416-0100

Fax

(925) 397-2193

NPI assigned

May 3, 2007

Last updated

Jan 5, 2012By 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

Dr. Andrew J Maxwell, MDNPI 1497736201

Title

Owner

Phone

(925) 416-0100

Specialties & licenses 1

Addresses

Other names 1

• Heart of the Valley Pediatric Cardiology Doing business as

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.

• Andrew James Maxwell, MD

  • Pediatric Cardiology Physician
  • Palo Alto, CA
  • NPI 1497736201
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1598977670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 CORONADO LN",
            "address_2": "SUITE 104",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888597",
            "telephone_number": "925-416-0100",
            "fax_number": "925-397-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 CORONADO LN",
            "address_2": "SUITE 104",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888597",
            "telephone_number": "925-416-0100",
            "fax_number": "925-397-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J MAXWELL, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-416-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A48667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of the Valley Pediatric Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Cardiology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.