Organization Active NPI

Cambrian Cardiology Medical Group, Inc.

  • Specialist
  • Vista, CA
National Provider Identifier
1679874671
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A24880 Issued in CA
Legal business name
CAMBRIAN CARDIOLOGY MEDICAL GROUP, INC.
Practice address
2095 W Vista Way
#107
Vista, CA 92083-6027
Phone
(760) 941-4005
Fax
(760) 941-4090
NPI assigned
Nov 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Oscar A Matthews, MD
Title
President
Phone
(760) 941-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A24880 CA Primary

Addresses

Primary practice location

2095 W Vista Way
#107
Vista, CA 92083-6027

Mailing address

3419 Via Lido
#654
Newport Beach, CA 92663-3908
Phone (760) 940-4005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1679874671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIA LIDO",
            "address_2": "#654",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633908",
            "telephone_number": "760-940-4005",
            "fax_number": "760-941-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W VISTA WAY",
            "address_2": "#107",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836027",
            "telephone_number": "760-941-4005",
            "fax_number": "760-941-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIAN CARDIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-07",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-941-4005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A24880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.