Active NPI
West Coast Medicine and Cardiology Inc
- Cardiovascular Disease Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A50486
- Legal business name
- WEST COAST MEDICINE AND CARDIOLOGY INC
- Practice address
- 3155 Kearney St Ste 100
Fremont, CA 94538-2268 - Phone
- (510) 931-4310
- Fax
- (510) 894-0615
- NPI assigned
- May 31, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajesh Sam Suri, MD
- Title
- President
- Phone
- (510) 931-4310
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A50486 | CA | Primary |
Addresses
Primary practice location
3155 Kearney St Ste 100
Fremont, CA 94538-2268
Mailing address
43575 Mission Blvd # 709
Fremont, CA 94539-5831
Phone (510) 931-4310
Other practice location 1
27171 Calaroga Ave Ste 1-3
Hayward, CA 94545-4344
Phone (510) 931-4310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2072990 | West Coast Medicine & Cardiology Inc | Certificate of waiver | Feb 9, 2028 |
| 05D2166502 | West Coast Medicine and Cardiology Inc | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
2147 Mowry Ave
Ste D3
Fremont, CA 94538
Phone (510) 456-5794
27171 Calaroga Ave
Ste 13
Hayward, CA 94545
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JEBIBD
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Fremont, CA
- NPI 1790700987
-
- Physician Assistant
- Fremont, CA
- NPI 1922818632
-
- Medical Physician Assistant
- Fremont, CA
- NPI 1205656576
-
- Medical Physician Assistant
- Fremont, CA
- NPI 1962263285
-
- Diagnostic Radiology Physician
- San Jose, CA
- NPI 1326246059
-
- Vascular & Interventional Radiology Physician
- Hayward, CA
- NPI 1386885382
-
- Physician Assistant
- Fremont, CA
- NPI 1952285140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621209600000",
"number": "1912435173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43575 MISSION BLVD # 709",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395831",
"telephone_number": "510-931-4310",
"fax_number": "510-894-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3155 KEARNEY ST STE 100",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382268",
"telephone_number": "510-931-4310",
"fax_number": "510-894-0615"
}
],
"practiceLocations": [
{
"address_1": "27171 Calaroga Ave Ste 1-3",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945454344",
"country_code": "US",
"telephone_number": "510-931-4310",
"fax_number": "510-894-0615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WEST COAST MEDICINE AND CARDIOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-31",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A",
"authorized_official_last_name": "SURI",
"authorized_official_first_name": "RAJESH",
"authorized_official_middle_name": "SAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-931-4310",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A50486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.