Organization Active NPI

Advanced Heart Care, Inc

  • Interventional Cardiology Physician
  • Bonita, CA
National Provider Identifier
1801018593
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G83522 Issued in CA
Legal business name
ADVANCED HEART CARE, INC
Practice address
180 Otay Lakes Rd Ste 110
Bonita, CA 91902-2444
Phone
(619) 585-0476
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Dr. Vimal I Nanavati, M.D.NPI 1851408082
Title
President
Phone
(619) 585-0476

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X G83522 CA Primary

Addresses

Primary practice location

180 Otay Lakes Rd Ste 110
Bonita, CA 91902-2444

Mailing address

PO Box 1734
Poway, CA 92074-1734

Other practice location 1

15525 Pomerado Rd Ste E6
Poway, CA 92064-2427
Phone (619) 585-0476

Other practice location 2

2510 Airpark Dr Ste 205
Redding, CA 96001-2461
Phone (530) 433-5427

Other identifiers 1

IdentifierTypeStateIssuer
00G835220MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120229000471 CA Part B Supplier - Clinic/Group Practice 4284670878 Receives reassigned benefits from 2 practitioners
Practice locations: Bonita, CA; National City, CA; Redding, CA

National Provider Directory

National Provider Directory

Locations

340 Fourth Ave
Ste 6
Chula Vista, CA 91910
Phone (619) 585-0476

2510 Airpark Dr
Ste 205
Redding, CA 96001
Phone (530) 244-0243

10672 Wexford St
Ste 240
San Diego, CA 92131
Phone (619) 585-0476

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1801018593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1734",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920741734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OTAY LAKES RD STE 110",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919022444",
            "telephone_number": "619-585-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15525 Pomerado Rd Ste E6",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642427",
            "country_code": "US",
            "telephone_number": "619-585-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Airpark Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012461",
            "country_code": "US",
            "telephone_number": "530-433-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED HEART CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "NANAVATI",
        "authorized_official_first_name": "VIMAL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-585-0476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G83522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G835220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.