Organization Active NPI

Pacific Heart & Vascular

  • Cardiovascular Disease Physician
  • Orange, CA
National Provider Identifier
1902465792
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PACIFIC HEART & VASCULAR
Practice address
1234 W. Chapman Ave
Ste #101
Orange, CA 92868-2862
Phone
(714) 532-6713
Fax
(714) 532-1169
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Mr. Sendhil K Krishnan, M.D.NPI 1376693325
Title
President/Ceo
Phone
(813) 368-8814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1234 W. Chapman Ave
Ste #101
Orange, CA 92868-2862

Mailing address

1234 W. Chapman Ave
Ste #101
Orange, CA 92868-2862
Phone (714) 532-6713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190905001187 CA Part B Supplier - Clinic/Group Practice 1456686286 Receives reassigned benefits from 1 practitioner
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1902465792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 W. CHAPMAN AVE",
            "address_2": "STE #101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682862",
            "telephone_number": "714-532-6713",
            "fax_number": "714-532-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 W. CHAPMAN AVE",
            "address_2": "STE #101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682862",
            "telephone_number": "714-532-6713",
            "fax_number": "714-532-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEART & VASCULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "SENDHIL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "813-368-8814",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.