Organization Active NPI

California Cardiology Associates Inc

  • Cardiovascular Disease Physician
  • Fremont, CA
National Provider Identifier
1811253115
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A62416 Issued in CA
Legal business name
CALIFORNIA CARDIOLOGY ASSOCIATES INC
Practice address
1900 Mowry Ave
Suite 309
Fremont, CA 94538-1722
Phone
(510) 790-9300
Fax
(510) 790-9301
NPI assigned
Apr 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Authorized official

Name
Dr. Pradeep Kumar, M.D., FACC, FSCAINPI 1295838746
Title
President
Phone
(510) 790-9300

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
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A62416 CA Primary

Addresses

Primary practice location

1900 Mowry Ave
Suite 309
Fremont, CA 94538-1722

Mailing address

1900 Mowry Ave
Suite 309
Fremont, CA 94538-1722
Phone (510) 790-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000674 CA Part B Supplier - Clinic/Group Practice 4385807353 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, CA; Hayward, CA

National Provider Directory

National Provider Directory

Locations

2147 Mowry Ave
Ste D4
Fremont, CA 94538
Phone (510) 574-0800

2147 Mowry Ave
Ste B3
Fremont, CA 94538
Phone (510) 796-8811

Practitioners & affiliated clinicians

Practitioners 2

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": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1811253115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE",
            "address_2": "SUITE 309",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-790-9300",
            "fax_number": "510-790-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE",
            "address_2": "SUITE 309",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-790-9300",
            "fax_number": "510-790-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARDIOLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PRADEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-790-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., FACC, FSCAI"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A62416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.