Fountain Valley Cardiology Medical Clinic Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A25451 Issued in CA

Legal business name

FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC.

Practice address

11100 Warner Avenue
Suite # 268
Fountain Valley, CA 92708-7512

Phone

(714) 540-9911

Fax

(714) 549-9720

NPI assigned

Apr 3, 2007

Last updated

Mar 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shankarlingam Sainath, M.D.NPI 1811050081

Title

President

Phone

(714) 540-9911

Specialties & licenses 3

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

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.

• Shankarlingam Sainath, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Fountain Valley, CA
  • NPI 1811050081
  Medicare reassignment Care Compare group NPD Authorized official
• Davinder Singh, M.D.

  • Gastroenterology Physician
  • Fountain Valley, CA
  • NPI 1114085362
  Medicare reassignment Care Compare group NPD
• Rajarathnam Sainath, PSY.D.

  • Psychologist
  • Fountain Valley, CA
  • NPI 1659607364
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1912029901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVENUE",
            "address_2": "SUITE # 268",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-540-9911",
            "fax_number": "714-549-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVENUE",
            "address_2": "SUITE # 268",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087512",
            "telephone_number": "714-540-9911",
            "fax_number": "714-549-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "SAINATH",
        "authorized_official_first_name": "SHANKARLINGAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-540-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A25451",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A31505",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A25691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI SAINATH",
            "identifier": "1811050081",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID SAINATH",
            "identifier": "A25691",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI SINGH",
            "identifier": "1114085362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN SINGH",
            "identifier": "WA25451C",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN SAINATH",
            "identifier": "WA25691E",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MALHOTRA",
            "identifier": "WA31505B",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71176Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI MALHOTRA",
            "identifier": "1366500514",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID SINGH",
            "identifier": "A25451",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID MALHOTRA",
            "identifier": "A31505",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Lynn Ford
• Asiah Fortuna
• Brooke Ariel Foster, OTR, OTD
• Fountain Valley Anesthesiology Medical Associates, Inc.
• Fountain Valley Cancer Center Pharmacy
• Fountain Valley Central Pharmacy Inc (Fountain Valley Central Pharmacy)
• Fountain Valley Community Healthcare, LLC (Fountain Valley Post Acute)
• Fountain Valley Emergency Physicians, P.C.
• Fountain Valley Heallthcare Center
• Fountain Valley Hospitalist Medical Group

• Cardiovascular Disease Physician in Fountain Valley, CA
• Providers in Fountain Valley, 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 Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.