Active NPI
Cardiovascular Consultants Medical Group, Inc.
- Interventional Cardiology Physician
- Walnut Creek, CA
National Provider Identifier
1770780355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC.
- Practice address
- 2855 Mitchell Dr Ste 223
Walnut Creek, CA 94598-1609 - Phone
- (925) 975-5930
- Fax
- (925) 975-5941
- NPI assigned
- Jun 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul L Ludmer, MD
- Title
- President
- Phone
- (510) 452-1345
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Interventional Cardiology Physician | 207RI0011X | Primary |
Addresses
Primary practice location
2855 Mitchell Dr Ste 223
Walnut Creek, CA 94598-1609
Mailing address
2855 Mitchell Dr Ste 223
Walnut Creek, CA 94598-1609
Phone (925) 975-5930
National Provider Directory
National Provider Directory- Tax ID family
- Cardiovascular Consultants Medical Group Inc
Locations
2855 Mitchell Dr
Ste 223
Walnut Creek, CA 94598
Phone (925) 975-5930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310342400000",
"number": "1770780355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 MITCHELL DR STE 223",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945981609",
"telephone_number": "925-975-5930",
"fax_number": "925-975-5941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 MITCHELL DR STE 223",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945981609",
"telephone_number": "925-975-5930",
"fax_number": "925-975-5941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR CONSULTANTS MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2011-07-11",
"status": "A",
"authorized_official_last_name": "LUDMER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-452-1345",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.