Organization Active NPI

Cardiac Associates Medical Group, Inc

  • Cardiovascular Disease Physician
  • Encino, CA
National Provider Identifier
1750445060
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC ASSOCIATES MEDICAL GROUP, INC
Practice address
16133 Ventura Blvd
Suite 1180
Encino, CA 91436-2403
Phone
(818) 990-5665
NPI assigned
Dec 21, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
James Henry Fleisher, M.D.NPI 1710041652
Title
President
Phone
(818) 990-5665

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

16133 Ventura Blvd
Suite 1180
Encino, CA 91436-2403

Mailing address

16161 Ventura Blvd
#812
Encino, CA 91436-2522
Phone (818) 990-5665

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ70768ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

16133 Ventura Blvd
Ste 1180
Encino, CA 91436
Phone (818) 990-5665

16161 Ventura Blvd
#812
Encino, CA 91436

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1750445060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16161 VENTURA BLVD",
            "address_2": "#812",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362522",
            "telephone_number": "818-990-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "address_2": "SUITE 1180",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362403",
            "telephone_number": "818-990-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC ASSOCIATES MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "FLEISHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-990-5665",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ70768Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

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