Digital Cardiac Services, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

31239 Issued in CA

Legal business name

DIGITAL CARDIAC SERVICES, INC.

Practice address

5114 Costa Rustico
San Clemente, CA 92673-7120

Phone

(949) 481-1004

Fax

(949) 481-1007

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kip Sumpter, CVT II

Title

President

Phone

(949) 481-1004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710933700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5114 COSTA RUSTICO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737120",
            "telephone_number": "949-481-1004",
            "fax_number": "949-481-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 COSTA RUSTICO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926737120",
            "telephone_number": "949-481-1004",
            "fax_number": "949-481-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL CARDIAC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUMPTER",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-481-1004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CVT II"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "31239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.