NPIMap

Organization Active NPI

Cardiovascular Associates-the Heart Group Medical Clinic Inc

  • Specialist
  • Fresno, CA
National Provider Identifier
1881637130
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00A228310 Issued in CA
Legal business name
CARDIOVASCULAR ASSOCIATES-THE HEART GROUP MEDICAL CLINIC INC
Practice address
1313 E Herndon Ave
Ste 203
Fresno, CA 93720-3306
Phone
(559) 439-6808
Fax
(559) 439-9335
NPI assigned
Jun 14, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Jana L Terry
Title
Office Administrator
Phone
(559) 492-5744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00A228310 CA Primary

Addresses

Primary practice location

1313 E Herndon Ave
Ste 203
Fresno, CA 93720-3306

Mailing address

1313 E Herndon Ave
Ste 203
Fresno, CA 93720-3306
Phone (559) 439-6808

Other identifiers 1

IdentifierTypeStateIssuer
GR0061010MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430000507 CA Part B Supplier - Clinic/Group Practice 5395732226 Receives reassigned benefits from 11 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

1313 E Herndon Ave
Ste 203
Fresno, CA 93720
Phone (559) 439-6808

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1881637130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "address_2": "STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-439-6808",
            "fax_number": "559-439-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "address_2": "STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-439-6808",
            "fax_number": "559-439-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES-THE HEART GROUP MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "JANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "559-492-5744"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "00A228310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0061010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.