Individual provider Active NPI

David A. Ciraulo, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1750304879
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A22559 Issued in CA
Practice address
8540 S Sepulveda Blvd Ste 118
Los Angeles, CA 90045-3818
Phone
(310) 673-3945
Fax
(310) 673-0273
NPI assigned
Jul 26, 2006
Last updated
Aug 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A22559 CA Primary

Addresses

Primary practice location

8540 S Sepulveda Blvd Ste 118
Los Angeles, CA 90045-3818

Mailing address

8540 S Sepulveda Blvd Ste 118
Los Angeles, CA 90045-3818
Phone (310) 673-3945

Other identifiers 1

IdentifierTypeStateIssuer
GR0057240MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A22559CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Cardiology Medical Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187222400000",
    "number": "1750304879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 118",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453818",
            "telephone_number": "310-673-3945",
            "fax_number": "310-673-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD STE 118",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453818",
            "telephone_number": "310-673-3945",
            "fax_number": "310-673-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRAULO",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A22559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.