Organization Active NPI

Cardiac Center of America Inc

  • Specialist
  • Rancho Cucamonga, CA
National Provider Identifier
1669850236
Registry record updated Apr 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G66022 Issued in CA
Legal business name
CARDIAC CENTER OF AMERICA INC
Practice address
10722 Arrow Rte
Suite 304
Rancho Cucamonga, CA 91730-4808
Phone
(909) 484-2865
Fax
(909) 941-6974
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2016

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

Authorized official

Name
Dr. Siva Arunasalam, MD
Title
President/Owner
Phone
(760) 241-2270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G66022 CA Primary

Addresses

Primary practice location

10722 Arrow Rte
Suite 304
Rancho Cucamonga, CA 91730-4808

Mailing address

10722 Arrow Rte
Suite 304
Rancho Cucamonga, CA 91730-4808
Phone (909) 484-2865

National Provider Directory

National Provider Directory

Locations

16000 Apple Valley Rd
Ste C1
Apple Valley, CA 92307
Phone (760) 515-2155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461369600000",
    "number": "1669850236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE",
            "address_2": "SUITE 304",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304808",
            "telephone_number": "909-484-2865",
            "fax_number": "909-941-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE",
            "address_2": "SUITE 304",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304808",
            "telephone_number": "909-484-2865",
            "fax_number": "909-941-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CENTER OF AMERICA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2016-04-23",
        "status": "A",
        "authorized_official_last_name": "ARUNASALAM",
        "authorized_official_first_name": "SIVA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "760-241-2270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G66022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2016; 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.