NPIMap

Organization Active NPI

Cardiovascular Consultants Medical Group

  • Cardiovascular Disease Physician
  • Encino, CA
National Provider Identifier
1790195410
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR CONSULTANTS MEDICAL GROUP
Practice address
16542 Ventura Blvd
Suite 402
Encino, CA 91436-2005
Phone
(818) 782-5041
Fax
(818) 782-4864
NPI assigned
May 2, 2014
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CARDIOVASCULAR CONSULTANTS MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Isaac Wiener, MDNPI 1427041078
Title
Managing Partner
Phone
(818) 782-5041

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X
Interventional Cardiology Physician 207RI0011X
Nuclear Cardiology Physician 207UN0901X

Addresses

Primary practice location

16542 Ventura Blvd
Suite 402
Encino, CA 91436-2005

Mailing address

16542 Ventura Blvd Ste 402
Encino, CA 91436-4562
Phone (818) 782-5041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525000844 CA Part B Supplier - Clinic/Group Practice 5991786105 Receives reassigned benefits from 13 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Encino, CA; Los Angeles, CA; Mission Hills, CA; Valencia, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cardovascular Consultan3 organizations share this tax ID, including this one
Part of
Cardovascular Consultan

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1790195410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD STE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364562",
            "telephone_number": "818-782-5041",
            "fax_number": "818-205-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16542 VENTURA BLVD",
            "address_2": "SUITE 402",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362005",
            "telephone_number": "818-782-5041",
            "fax_number": "818-782-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIOVASCULAR CONSULTANTS MEDICAL GROUP",
        "enumeration_date": "2014-05-02",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-782-5041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.