NPIMap

Organization Active NPI

The Heart Medical Group

  • Cardiovascular Disease Physician
  • Van Nuys, CA
National Provider Identifier
1609188796
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G77802 Issued in CA
Legal business name
THE HEART MEDICAL GROUP
Practice address
16320 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1216
Phone
(818) 904-6782
Fax
(818) 904-5896
NPI assigned
Jul 6, 2010
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Munaf A. Shamji, M.D.NPI 1174587224
Title
Partner
Phone
(818) 904-6782

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G77802 CA Primary

Addresses

Primary practice location

16320 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1216

Mailing address

16320 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1216
Phone (818) 908-8048

Other practice location 1

4835 Van Nuys Blvd Ste 215
Sherman Oaks, CA 91403-2146
Phone (818) 995-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000204 CA Part B Supplier - Clinic/Group Practice 8123202561 Receives reassigned benefits from 9 practitioners
Practice locations: Encino, CA; Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

18356 Clark St
#101
Tarzana, CA 91356
Phone (818) 926-2650

16320 Roscoe Blvd
Van Nuys, CA 91406

4835 Van Nuys Blvd
Ste 215
Van Nuys, CA 91403
Phone (818) 995-3132

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1609188796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16320 ROSCOE BLVD STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061216",
            "telephone_number": "818-908-8048",
            "fax_number": "818-908-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16320 ROSCOE BLVD STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061216",
            "telephone_number": "818-904-6782",
            "fax_number": "818-904-5896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4835 Van Nuys Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032146",
            "country_code": "US",
            "telephone_number": "818-995-3132",
            "fax_number": "818-995-1381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE HEART MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "SHAMJI",
        "authorized_official_first_name": "MUNAF",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-904-6782",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G77802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.