Pacific Coast Heart Center a Professional Medical Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PACIFIC COAST HEART CENTER A PROFESSIONAL MEDICAL CORP

Practice address

30131 Town Center Dr
Suite 237
Laguna Niguel, CA 92677

Phone

(949) 495-0800

Fax

(949) 495-0805

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Christine M. Theard, MDNPI 1356410740

Title

President

Phone

(949) 495-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

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

• Christine Marie Theard, M.D.

  • Cardiovascular Disease Physician
  • Laguna Niguel, CA
  • NPI 1356410740
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1841416435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR",
            "address_2": "SUITE 237",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-495-0800",
            "fax_number": "949-495-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR",
            "address_2": "SUITE 237",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-495-0800",
            "fax_number": "949-495-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COAST HEART CENTER A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "THEARD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-495-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "WC50353A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Janise Onstad, BCBA 1-04-1919
• Orange County Academy of Sciences and Arts
• Orange County Medical Transportation Services, LLC (Ocmts)
• Oso Niguel Medical Group
• Pacific Clinics
• Pacific Crest Medical Group, Inc.
• Pain Management Equipment
• Andrew Pallos, D.D.S.
• Fouad Panah, M.D
• Mikaela Paniagua

• Clinic/Center in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.