California Cardiovascular Consultants Medical Associates Cor

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A50605 Issued in CA

Legal business name

CALIFORNIA CARDIOVASCULAR CONSULTANTS MEDICAL ASSOCIATES COR

Practice address

27200 Calaroga Ave
Hayward, CA 94545-4339

Phone

(510) 264-4046

Fax

(510) 264-4192

NPI assigned

Oct 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ashit Jain, M.D.

Title

Authorized Official

Phone

(510) 796-0222

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

California Cardiovascular Consultants Medical Associates Cor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cccma

  • Long Term Care Hospital
  • Millbrae, CA
  • NPI 1174955587
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Mission Hospitalist Medical Corporation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1841531902

  Member Of

  NPD member

Locations

Practitioners 2

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

• Padma Dasari, M.D.

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1528144995

  CA, Internal Medicine

  Medicare reassignment NPD
• Kala Rachel Dharma, MD

  • Obstetrics & Gynecology Physician
  • El Paso, TX
  • NPI 1023193646

  CA, Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1659623676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MOWRY AVE",
            "address_2": "SUITE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381625",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27200 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454339",
            "telephone_number": "510-264-4046",
            "fax_number": "510-264-4192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Mowry Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381626",
            "country_code": "US",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27225 Calaroga Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945454338",
            "country_code": "US",
            "telephone_number": "501-342-0020",
            "fax_number": "510-342-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA CARDIOVASCULAR CONSULTANTS MEDICAL ASSOCIATES COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ASHIT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "510-796-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50605",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G59337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Lissette Calderon Cordova
• Liset Calderon
• Myeeka Joel Calhoun
• California Acupuncture Center
• California Cardiovascular Consultants Medical Associates
• California Pet Pharmacy
• California Pet Pharmacy
• California State University East Bay
• California State University East Bay
• California State University East Bay

• All providers in Hayward, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.