Securecardio, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SECURECARDIO, LLC

Practice address

27702 Crown Valley Pkwy
#D4-150
Ladera Ranch, CA 92694-0608

Phone

(949) 422-7536

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad RoelofsNPI 1831363910

Title

President

Phone

(949) 422-7536

Specialties & licenses 1

Addresses

Locations

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.

• Brad Roelofs, CCT

  • Cardiology Technician
  • Ladera Ranch, CA
  • NPI 1831363910
  NPD Authorized official

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1740622877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27702 CROWN VALLEY PKWY",
            "address_2": "#D4-150",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27702 CROWN VALLEY PKWY",
            "address_2": "#D4-150",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940608",
            "telephone_number": "949-422-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURECARDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "ROELOFS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-422-7536"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saray Sanchez
• Quinci Sandler
• Nicolette Sandoval
• Godfrey Chan Say, PT, MPT, PMA-CPT
• Scott N Macadam Chiropractic Corporation
• Joan Amendola Segal, LSCW
• Elnaz Shahabi-Abney, DO
• Parisa Shirkhani, NP-C
• Annie Kaye Shugarman, P.A.-C
• Elizabeth Kay Sorensen, LCSW

• Physiological Laboratory in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.