Temecula Valley Cardiology Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC.

Practice address

29826 Haun Rd
Ste 301
Menifee, CA 92586-6546

Phone

(951) 698-4600

Fax

(951) 514-2542

NPI assigned

Dec 1, 2011

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leslie Shaeffer

Title

Practice Manager

Phone

(951) 698-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Temecula Valley Cardiology Medical Group, Inc

  • Cardiovascular Disease Physician
  • Bonsall, CA
  • NPI 1346466646

  O20040603000860

  Same enrollment
• Temecula Valley Cardiology Medical Group, Inc.

  • Cardiovascular Disease Physician
  • Temecula, CA
  • NPI 1801278718

  O20040603000860

  Same enrollment
• Temecula Valley Cardiology Medical Group, Inc.

  • Specialist
  • Murrieta, CA
  • NPI 1922031632

  O20040603000860

  Same enrollment

Tax ID family

Temecula Valley Cardiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Temecula Valley Cardiology Medical Group, Inc

  • Cardiovascular Disease Physician
  • Bonsall, CA
  • NPI 1346466646
  NPD tax ID

Locations

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.

• Jeffrey C Chung, MD

  • Cardiovascular Disease Physician
  • Murrieta, CA
  • NPI 1326086604
  NPD
• Destiny Loney

  • Medical Physician Assistant
  • Murrieta, CA
  • NPI 1609760701
  NPD

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1811265135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624901",
            "telephone_number": "951-698-4600",
            "fax_number": "951-514-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD",
            "address_2": "STE 301",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925866546",
            "telephone_number": "951-698-4600",
            "fax_number": "951-514-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "SHAEFFER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "951-698-4600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Taylor, FNP
• Milani Francesca Taylor
• Rochelle Taylor, M.S.
• Nataly Tejeda
• Telewellness for Her PLLC
• The Mobileyes Foundation
• Joyce Donna Theobald, MASSAGE TECHNICIAN
• Jacque Dawn Thomas
• Amanda Marie Salcido Thomason-Weis
• Ashley Marie Thompson

• Specialist in Menifee, CA
• Providers in Menifee, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.