NPIMap

Organization Active NPI

St Luke Cardiovascular Medical Group

  • Cardiovascular Disease Physician
  • Murrieta, CA
National Provider Identifier
1720158611
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ST LUKE CARDIOVASCULAR MEDICAL GROUP
Practice address
25470 Medical Center Drive
Suite 201
Murrieta, CA 92562
Phone
(951) 698-4433
Fax
(951) 296-6149
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Festus Dada, M.D.NPI 1184632606
Title
President
Phone
(951) 973-7380

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

25470 Medical Center Drive
Suite 201
Murrieta, CA 92562

Mailing address

25470 Medical Center Drive
Suite 206
Murrieta, CA 92562
Phone (951) 973-7380

Other names 1

  • St Luke Cardiovascular Medical Group Doing business as

National Provider Directory

National Provider Directory

Locations

36450 Inland Valley Dr
Ste 112
Wildomar, CA 92595
Phone (909) 698-4433

36450 Inland Valley Dr
#122
Wildomar, CA 92595
Phone (909) 698-4433

Practitioners & affiliated clinicians

Practitioners 8

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1720158611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 206",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-973-7380",
            "fax_number": "951-973-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92562",
            "telephone_number": "951-698-4433",
            "fax_number": "951-296-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE CARDIOVASCULAR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DADA",
        "authorized_official_first_name": "FESTUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-973-7380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Luke Cardiovascular Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.