Active NPI
Children's Heart Clinic
- Pediatric Cardiology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 145986
- Legal business name
- CHILDREN'S HEART CLINIC
- Doing business as
- Children's Heart Clinic
- Practice address
- 411 N Central Ave Ste 250
Glendale, CA 91203-2061 - Phone
- (818) 839-7101
- NPI assigned
- Apr 10, 2018
- Last updated
- Apr 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Georgios A. Hartas, MD
- Title
- President
- Phone
- (571) 405-4012
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 145986 | CA | Primary |
Addresses
Primary practice location
411 N Central Ave Ste 250
Glendale, CA 91203-2061
Mailing address
12025 New Dominion Pkwy Apt 307
Reston, VA 20190-6267
Phone (571) 405-4012
Other names 1
- Children's Heart Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
411 N Central Ave
Ste 250
Glendale, CA 91203
Phone (818) 240-2270
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.
-
- Pediatric Cardiology Physician
- Glendale, CA
- NPI 1750598025
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523318400000",
"number": "1710484399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12025 NEW DOMINION PKWY APT 307",
"city": "RESTON",
"state": "VA",
"postal_code": "201906267",
"telephone_number": "571-405-4012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N CENTRAL AVE STE 250",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032061",
"telephone_number": "818-839-7101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S HEART CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A",
"authorized_official_last_name": "HARTAS",
"authorized_official_first_name": "GEORGIOS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "571-405-4012",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "145986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Heart Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.