Circle City Ekg Reading Panel,Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CIRCLE CITY EKG READING PANEL,INC

Practice address

2250 S Main St
Ste 201
Corona, CA 92882-2536

Phone

(951) 734-4880

Fax

(951) 735-3566

NPI assigned

Apr 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Roberto Moscoso, M.D.

Title

Chairman,Director

Phone

(951) 734-4880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dhaval Desai, M.D.

  • Interventional Cardiology Physician
  • Corona, CA
  • NPI 1164798153
  Medicare reassignment NPD
• Sumit Mahendra Khandhar, DO

  • Interventional Cardiology Physician
  • Corona, CA
  • NPI 1174701668
  Medicare reassignment NPD
• L R Roberto Moscoso, M.D.

  • Cardiovascular Disease Physician
  • Corona, CA
  • NPI 1073548962
  Medicare reassignment NPD
• Gilbert Oscar Plasencia, M.D.

  • Cardiovascular Disease Physician
  • Corona, CA
  • NPI 1043245822
  Medicare reassignment NPD
• Sa'D Khalil Tuqan, M.D.

  • Cardiovascular Disease Physician
  • Corona, CA
  • NPI 1629030895
  Medicare reassignment NPD

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1891938155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822534",
            "telephone_number": "951-734-4880",
            "fax_number": "951-735-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST",
            "address_2": "STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822536",
            "telephone_number": "951-734-4880",
            "fax_number": "951-735-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE CITY EKG READING PANEL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "MOSCOSO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "CHAIRMAN,DIRECTOR",
        "authorized_official_telephone_number": "951-734-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Chung, PA
• Nancy Marie Chung, MD
• Cima
• Brandy Lee Cimarusti
• Sarah S Ciprian
• Circle City Midwifery & Women's Health Services, Inc.
• Circle City Midwifery Birth Center Inc
• Circle City Optometry, Inc
• Circle City Surgery Center
• Circle of Life

• Specialist in Corona, CA
• Providers in Corona, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.