Cardiology Medical Group of San Gabriel Valley Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOLOGY MEDICAL GROUP OF SAN GABRIEL VALLEY INC

Practice address

625 E Badillo St
Covina, CA 91723-2800

Phone

(626) 915-7300

Fax

(626) 967-8896

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Paul H Miller, MD

Title

President

Phone

(626) 915-7300

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1902881121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232800",
            "telephone_number": "626-915-7300",
            "fax_number": "626-967-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232800",
            "telephone_number": "626-915-7300",
            "fax_number": "626-967-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY MEDICAL GROUP OF SAN GABRIEL VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-915-7300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PTAN",
            "identifier": "CP5243",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Cardenas
• Jimena Cardenas
• Oscar P Cardenas
• Yolanda Cardenas
• Elvia Elizabeth Cardiel
• Jessica Cardoso
• Patricia Jessica Cardoza-Soto
• Kimberly Ann Cardozo, LCSW
• Careprovider Org Foundation
• Careprovider Org Foundation

• Cardiovascular Disease Physician in Covina, CA
• Providers in Covina, 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 Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.