Active NPI
Edward D Klinicke
- Cardiology Technician
- Laguna Niguel, CA
National Provider Identifier
1891964987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiology Technician
- Practice address
- 27622 Lodestone Trail Dr
Laguna Niguel, CA 92677-4043 - Phone
- (949) 425-1401
- Fax
- (949) 425-1401
- NPI assigned
- Feb 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiology Technician | 246W00000X | Primary |
Addresses
Primary practice location
27622 Lodestone Trail Dr
Laguna Niguel, CA 92677-4043
Mailing address
27622 Lodestone Trail Dr
Laguna Niguel, CA 92677-4043
Phone (949) 425-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Imaging Inc | Technician, Cardiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1891964987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27622 LODESTONE TRAIL DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926774043",
"telephone_number": "949-425-1401",
"fax_number": "949-425-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27622 LODESTONE TRAIL DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926774043",
"telephone_number": "949-425-1401",
"fax_number": "949-425-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINICKE",
"first_name": "EDWARD",
"middle_name": "D",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "246W00000X",
"taxonomy_group": "",
"desc": "Technician, Cardiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.