Organization Active NPI

Cardiovascular Associates of Marin & San Francisco Medical Group Inc

  • Cardiovascular Disease Physician
  • Larkspur, CA
National Provider Identifier
1790775609
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR ASSOCIATES OF MARIN & SAN FRANCISCO MEDICAL GROUP INC
Practice address
2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141
Phone
(415) 927-0666
Fax
(415) 927-6159
NPI assigned
Oct 24, 2005
Last updated
Mar 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Ms. Ronni A Himy
Title
Administrator
Phone
(415) 927-8586

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X CA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141

Mailing address

2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141
Phone (415) 927-0666

National Provider Directory

National Provider Directory

Locations

500 Doyle Park Dr
Ste 105
Santa Rosa, CA 95405
Phone (707) 528-8383

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1790775609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD",
            "address_2": "SUITE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391141",
            "telephone_number": "415-927-0666",
            "fax_number": "415-937-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD",
            "address_2": "SUITE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391141",
            "telephone_number": "415-927-0666",
            "fax_number": "415-927-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF MARIN & SAN FRANCISCO MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "HIMY",
        "authorized_official_first_name": "RONNI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "415-927-8586",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.