NPIMap

Organization Active NPI

California Cardiovascular Specialists Inc Vein Medical Clinic PC

  • Cardiovascular Disease Physician
  • La Mesa, CA
National Provider Identifier
1649425307
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A77589 Issued in CA
Legal business name
CALIFORNIA CARDIOVASCULAR SPECIALISTS INC VEIN MEDICAL CLINIC PC
Practice address
5358 Jackson Dr
Ste 1
La Mesa, CA 91942-3040
Phone
(619) 466-0056
Fax
(619) 655-4578
NPI assigned
Nov 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Sharon Sadeghinia, M.D.
Title
President
Phone
(619) 466-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A77589 CA Primary

Addresses

Primary practice location

5358 Jackson Dr
Ste 1
La Mesa, CA 91942-3040

Mailing address

PO Box 9166
La Jolla, CA 92038-9166
Phone (619) 466-0056

Other identifiers 1

IdentifierTypeStateIssuer
BF388OtherCAPTAN

Other names 1

  • Sharon Sadeghinia, MD Doing business as

National Provider Directory

National Provider Directory

Locations

5358 Jackson Dr
Ste 1A
La Mesa, CA 91942
Phone (619) 466-0056

5555 Reservoir Dr
Ste 100
San Diego, CA 92120
Phone (619) 265-0200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1649425307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9166",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920389166",
            "telephone_number": "619-466-0056",
            "fax_number": "619-461-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5358 JACKSON DR",
            "address_2": "STE 1",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423040",
            "telephone_number": "619-466-0056",
            "fax_number": "619-655-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARDIOVASCULAR SPECIALISTS INC VEIN MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-22",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "SADEGHINIA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-466-0056",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A77589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "BF388",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Sadeghinia, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.