Mission Heart and Vascular Clinic, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

16352 Issued in CA

Legal business name

MISSION HEART AND VASCULAR CLINIC, INC

Practice address

25470 Medical Center Dr
Suite 201
Murrieta, CA 92562-4900

Phone

(951) 698-4433

Fax

(951) 698-0840

NPI assigned

Apr 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Fetus Dada, M.D.,J.D.

Title

President

Phone

(951) 973-7295

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGJHBD

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1770726689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "951-925-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "SUITE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900",
            "telephone_number": "951-698-4433",
            "fax_number": "951-698-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HEART AND VASCULAR CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "DADA",
        "authorized_official_first_name": "FETUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-973-7295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,J.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "16352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Murrieta, CA
• Providers in Murrieta, 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 20, 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.