Pacific Heart & Vascular Medical Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

09-2629 Issued in CA

Legal business name

PACIFIC HEART & VASCULAR MEDICAL GROUP

Practice address

15810 S Harlan Rd
Ste. a
Lathrop, CA 95330-8719

Phone

(209) 464-3615

Fax

(209) 464-1311

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Lee Michael Stenzler, MD

Title

Owner/Partner

Phone

(209) 464-3615

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1730312638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN",
            "address_2": "STE. D400",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106629",
            "telephone_number": "877-835-7938",
            "fax_number": "209-464-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15810 S HARLAN RD",
            "address_2": "STE. A",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953308719",
            "telephone_number": "209-464-3615",
            "fax_number": "209-464-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEART & VASCULAR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "STENZLER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "209-464-3615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "09-2629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nyaguthii
• Jewel Nyberg
• Kayla Marie Oltjenbruns
• Hector Abelardo Ortiz
• Maria Lourdes Ortiz
• Danilo Padilla
• Alfredo Paiz Pineda
• Gurvir Pannu, DDS
• Leanne P Parker
• Jamie Rae Peters

• Cardiovascular Disease Physician in Lathrop, CA
• Providers in Lathrop, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.