Pediatric Cardiology of San Diego

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

PEDIATRIC CARDIOLOGY OF SAN DIEGO

Practice address

5755 Oberlin Dr Ste 202
San Diego, CA 92121-4716

Phone

(619) 501-4015

Fax

(619) 501-2977

NPI assigned

Oct 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Delaram Pour Molkara, MDNPI 1306074893

Title

Ceo

Phone

(619) 501-4015

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16774/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delaram Pour Molkara, M.D.

  • Pediatric Cardiology Physician
  • San Diego, CA
  • NPI 1306074893
  NPD Authorized official

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1750891727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214716",
            "telephone_number": "619-501-4015",
            "fax_number": "619-501-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214716",
            "telephone_number": "619-501-4015",
            "fax_number": "619-501-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "POUR MOLKARA",
        "authorized_official_first_name": "DELARAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-501-4015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Pederson, LCSW
• Heather Elizabeth Pederson, LMFT
• Julia Pederson, DNP
• Thomas Gregg Pederson, MD
• Kathryn Marie Pedgrift, PSY.D.
• Pediatric Neurology Therapeutics
• Pediatric Office Anesthesia Specialists
• Pediatric Orthopedic and Scoliosis Center of San Diego, Inc.
• Pediatric Primary Care Associated Medical Group
• Pediatric Specialty Partners Inc.

• Pediatric Cardiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.