California Cardiovascular Center a Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A26423 Issued in CA

Legal business name

CALIFORNIA CARDIOVASCULAR CENTER A MEDICAL CORPORATION

Practice address

975 Saint John PL
Suite a
Hemet, CA 92543-4428

Phone

(951) 652-5037

Fax

(951) 925-9181

NPI assigned

Feb 8, 2010

Last updated

Feb 8, 2010By 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

Sadruddin Khoja, MD

Title

Owner

Phone

(951) 652-5037

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1659603298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SAINT JOHN PL",
            "address_2": "SUITE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434428",
            "telephone_number": "951-652-5037",
            "fax_number": "951-925-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SAINT JOHN PL",
            "address_2": "SUITE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434428",
            "telephone_number": "951-652-5037",
            "fax_number": "951-925-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARDIOVASCULAR CENTER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "KHOJA",
        "authorized_official_first_name": "SADRUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-652-5037",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A26423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Hemet, CA
• Providers in Hemet, 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 8, 2010; 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.