Organization Active NPI

Cardiology Clinic of Northern California

  • Medical Specialty Clinic/Center
  • San Jose, CA
National Provider Identifier
1841598323
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A90388 Issued in CA
Legal business name
CARDIOLOGY CLINIC OF NORTHERN CALIFORNIA
Practice address
969 Story Rd
Suite 6066
San Jose, CA 95122-2690
Phone
(408) 293-5900
Fax
(408) 293-5901
NPI assigned
Mar 7, 2011
Last updated
Jan 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Dr. Dan Van Dang, M.D.NPI 1639351125
Title
Ceo
Phone
(408) 293-5900

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
Medical Specialty Clinic/Center 261QM2500X A90388 CA Primary

Addresses

Primary practice location

969 Story Rd
Suite 6066
San Jose, CA 95122-2690

Mailing address

969 Story Rd
Suite 6066
San Jose, CA 95122-2690
Phone (408) 293-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110329000687 CA Part B Supplier - Clinic/Group Practice 3779766761 Receives reassigned benefits from 4 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

1143 Story Rd
Ste 260
San Jose, CA 95122
Phone (408) 293-5900

969 Story Rd
San Jose, CA 95122

969 Story Rd
Unit 6066
San Jose, CA 95122
Phone (408) 293-5900

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1841598323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 STORY RD",
            "address_2": "SUITE 6066",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222690",
            "telephone_number": "408-293-5900",
            "fax_number": "408-293-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 STORY RD",
            "address_2": "SUITE 6066",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222690",
            "telephone_number": "408-293-5900",
            "fax_number": "408-293-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CLINIC OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-293-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A90388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.