Organization Active NPI

Oc Premier Cardiology and Vascular Institute Inc

  • Cardiovascular Disease Physician
  • Buena Park, CA
National Provider Identifier
1699482109
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
OC PREMIER CARDIOLOGY AND VASCULAR INSTITUTE INC
Practice address
5797 Beach Blvd
Buena Park, CA 90621-2044
Phone
(714) 760-9988
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Inyong HwangNPI 1528346111
Title
Doctor
Phone
(213) 528-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X

Addresses

Primary practice location

5797 Beach Blvd
Buena Park, CA 90621-2044

Mailing address

3130 W Olympic Blvd Ste 250
Los Angeles, CA 90006-2491
Phone (213) 528-1111

Other practice location 1

1995 W Malvern Ave Ste A
Fullerton, CA 92833-5772
Phone (714) 760-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221216000365 CA Part B Supplier - Clinic/Group Practice 5698144509 Receives reassigned benefits from 1 practitioner
Practice locations: Buena Park, CA

National Provider Directory

National Provider Directory

Locations

1706 W Orangethorpe Ave
Ste D
Fullerton, CA 92833
Phone (714) 457-1400

Practitioners & affiliated clinicians

Practitioners 1

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": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1699482109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD STE 250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062491",
            "telephone_number": "213-528-1111",
            "fax_number": "213-528-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5797 BEACH BLVD",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212044",
            "telephone_number": "714-760-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 W Malvern Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928335772",
            "country_code": "US",
            "telephone_number": "714-760-9988",
            "fax_number": "213-528-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OC PREMIER CARDIOLOGY AND VASCULAR INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "INYONG",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "213-528-1111"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.