Organization Active NPI

Christo Cardiology & Vascular Medicine Inc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1851140404
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CHRISTO CARDIOLOGY & VASCULAR MEDICINE INC
Practice address
2423 N Broadway
Los Angeles, CA 90031-2218
Phone
(213) 376-3762
Fax
(877) 606-7102
NPI assigned
May 16, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Dr. Hany MalekNPI 1548361090
Title
President
Phone
(213) 376-3762

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 Physician 207RC0000X NU Primary

Addresses

Primary practice location

2423 N Broadway
Los Angeles, CA 90031-2218

Mailing address

2423 N Broadway
Los Angeles, CA 90031-2218
Phone (213) 376-3762

Other practice location 1

15030 7th St
Victorville, CA 92395-3811
Phone (213) 376-3762

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240703003628 CA Part B Supplier - Clinic/Group Practice 0446794242 Receives reassigned benefits from 8 practitioners
Practice locations: Victorville, CA; Reseda, CA; Monterey Park, CA; Los Angeles, CA; Barstow, CA

National Provider Directory

National Provider Directory

Locations

18905 Sherman Way
Ste B
Reseda, CA 91335
Phone (213) 376-3762

Practitioners & affiliated clinicians

Practitioners 9

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": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1851140404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312218",
            "telephone_number": "213-376-3762",
            "fax_number": "877-606-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312218",
            "telephone_number": "213-376-3762",
            "fax_number": "877-606-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15030 7th St",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923953811",
            "country_code": "US",
            "telephone_number": "213-376-3762",
            "fax_number": "877-606-7102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTO CARDIOLOGY & VASCULAR MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-376-3762",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.