Santa Clarita Cardiology Medical Group, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

CORP#2878253 Issued in CA

Legal business name

SANTA CLARITA CARDIOLOGY MEDICAL GROUP, INC.

Practice address

23928 Lyons Ave Ste 101
Newhall, CA 91321-2452

Phone

(661) 255-8321

Fax

(661) 255-0338

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Harold Eton Quan, M.D.NPI 1033220256

Title

President

Phone

(661) 255-8321

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold E Quan

  • Cardiovascular Disease Physician
  • Newhall, CA
  • NPI 1033220256
  Medicare reassignment NPD Authorized official
• Rami Sami El-Yousef, M.D.

  • Pulmonary Disease Physician
  • Newhall, CA
  • NPI 1861750846
  NPD
• Chand Khanna, M.D.

  • Pulmonary Disease Physician
  • Newhall, CA
  • NPI 1699776302
  NPD
• Charanjit Saroa, M.D.

  • Pulmonary Disease Physician
  • Newhall, CA
  • NPI 1720089469
  NPD
• Sina Tebi, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Los Angeles, CA
  • NPI 1437380789
  NPD
• Kelly Lynn Walsma, MD

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1215225321
  NPD
• Himanshu Vajrin Wickramasinghe, M.D.

  • Pulmonary Disease Physician
  • Newhall, CA
  • NPI 1831118934
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1619028149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE STE 101",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212452",
            "telephone_number": "661-255-8321",
            "fax_number": "661-255-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23928 LYONS AVE STE 101",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212452",
            "telephone_number": "661-255-8321",
            "fax_number": "661-255-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARITA CARDIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "ETON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-255-8321",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "CORP#2878253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ576762",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Runyan, THOMAS RUNYAN LCSW
• Shaik M Saheb, M.D.
• Samantha Markman LMFT Inc.
• Samuel a Kojoglanian MD Facc a Medical Corporation
• Chezarey Sanchez
• Santa Clarita Convalescent
• Santa Clarita Gastroenterology Medical Group a Partnership
• Santa Clarita Urology Assoc Inc
• Santa Clarita Valley Mental Health Center
• Juan Carlos Santa Cruz, M.S.

• Cardiovascular Disease Physician in Newhall, CA
• Providers in Newhall, 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 Feb 3, 2014; 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.