Active NPI
Heart Health Center of San Diego, a Medical Corporation
- Cardiovascular Disease Physician
- National City, CA
National Provider Identifier
1629520986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C55986
- Legal business name
- HEART HEALTH CENTER OF SAN DIEGO, A MEDICAL CORPORATION
- Practice address
- 1415 E 8TH St Ste 8
National City, CA 91950-2663 - Phone
- (718) 704-4533
- Fax
- (619) 434-4315
- NPI assigned
- Nov 2, 2016
- 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
- Dr. Mariusz Witold Wysoczanski, M.D.
- Title
- President
- Phone
- (718) 704-4533
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 | C55986 | CA | Primary |
Addresses
Primary practice location
1415 E 8TH St Ste 8
National City, CA 91950-2663
Mailing address
1950 Corte Belize
Chula Vista, CA 91914-4618
Phone (718) 704-4533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1415 E 8th St
Ste 8
National City, CA 91950
Phone (619) 482-0112
1415 E 8th St
National City, CA 91950
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- National City, CA
- NPI 1659535656
-
- Interventional Cardiology Physician
- La Jolla, CA
- NPI 1366720211
-
- Clinical Cardiac Electrophysiology Physician
- National City, CA
- NPI 1972533941
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694390400000",
"number": "1629520986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 CORTE BELIZE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919144618",
"telephone_number": "718-704-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 E 8TH ST STE 8",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502663",
"telephone_number": "718-704-4533",
"fax_number": "619-434-4315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART HEALTH CENTER OF SAN DIEGO, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-02",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A",
"authorized_official_last_name": "WYSOCZANSKI",
"authorized_official_first_name": "MARIUSZ",
"authorized_official_middle_name": "WITOLD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-704-4533",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "C55986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.