San Diego Heart Center, a Medical Corporation

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A121180 Issued in CA

Legal business name

SAN DIEGO HEART CENTER, A MEDICAL CORPORATION

Practice address

1415 E 8TH St Ste 3
National City, CA 91950-2663

Phone

(619) 434-4288

Fax

(619) 434-4315

NPI assigned

Sep 7, 2016

Last updated

Aug 31, 2023By 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

James Kim, MDNPI 1336378371

Title

Cardiologist

Phone

(847) 561-2318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• James T Kim, MD

  • Cardiovascular Disease Physician
  • Chula Vista, CA
  • NPI 1336378371
  Medicare reassignment NPD Authorized official
• Raul Oviedo, M.D

  • Clinical Cardiac Electrophysiology Physician
  • National City, CA
  • NPI 1972533941

  Cardiovascular Disease

  NPD (past)
• Mariusz Witold Wysoczanski, M.D.

  • Cardiovascular Disease Physician
  • National City, CA
  • NPI 1659535656
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1861949828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15119 BAROLO CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275007",
            "telephone_number": "847-561-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E 8TH ST STE 3",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502663",
            "telephone_number": "619-434-4288",
            "fax_number": "619-434-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO HEART CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "847-561-2318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A121180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugenio Dominguez Salvanera, DMD
• Samaritan Palliative & Hospice Care Inc
• San Antonio Family Medical Clinic, Inc.
• San Diego Center for Family Therapy
• San Diego Dialysis Services, Inc. (National City Dialysis Center)
• San Diego Infectious Disease Consultants
• San Diego Neurosurgery and Spine Institute
• San Diego Pace, LLC (San Diego PACE National City)
• San Diego Pain Rehab
• San Diego Workforce Innovation High School

• Cardiovascular Disease Physician in National City, CA
• Providers in National City, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.