NPIMap

Organization Active NPI

Cardio Vascular Clinic Inc

  • Cardiovascular Disease Physician
  • Merced, CA
National Provider Identifier
1851576284
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C40824 Issued in CA
Legal business name
CARDIO VASCULAR CLINIC INC
Doing business as
Cardio Vascular Clinic Inc
Practice address
812 W 18TH St
Merced, CA 95340-4605
Phone
(209) 723-2037
Fax
(209) 723-8767
NPI assigned
Jan 3, 2008
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. Raif Tawakol, M.D.NPI 1972687754
Title
Owner
Phone
(209) 723-2037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C40824 CA Primary

Addresses

Primary practice location

812 W 18TH St
Merced, CA 95340-4605

Mailing address

812 W 18TH St
Merced, CA 95340-4605
Phone (209) 723-2037

Other identifiers 1

IdentifierTypeStateIssuer
GR0068610MedicaidCA

Other names 1

  • Cardio Vascular Clinic Inc Doing business as

National Provider Directory

National Provider Directory

Locations

900 W Olive Ave
Ste D
Merced, CA 95348
Phone (209) 723-2037

Practitioners & affiliated clinicians

Practitioners 1

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1851576284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 W 18TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404605",
            "telephone_number": "209-723-2037",
            "fax_number": "209-723-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 W 18TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404605",
            "telephone_number": "209-723-2037",
            "fax_number": "209-723-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIO VASCULAR CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "TAWAKOL",
        "authorized_official_first_name": "RAIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-723-2037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C40824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardio Vascular Clinic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.