Active NPI
San Diego Arrhythmia Associates, a Medical Corporation
- Clinical Cardiac Electrophysiology Physician
- San Diego, CA
National Provider Identifier
1912912403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- G84648
- Legal business name
- SAN DIEGO ARRHYTHMIA ASSOCIATES, A MEDICAL CORPORATION
- Practice address
- 501 Washington St
Suite 512
San Diego, CA 92103-2231 - Phone
- (619) 297-0014
- Fax
- (619) 297-1014
- NPI assigned
- Jul 31, 2006
- 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
- Manish Kumar Wadhwa, M.D.
- Title
- Chief Executive Officer
- Phone
- (619) 297-0014
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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | G84648 | CA | Primary |
Addresses
Primary practice location
501 Washington St
Suite 512
San Diego, CA 92103-2231
Mailing address
501 Washington St
Suite 512
San Diego, CA 92103-2231
Phone (619) 297-0014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHC150029 | Other | CA | X-RAY/FLUOROSCOPY |
| 00G846480 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Cardiac Electrophysiology Physician
- San Diego, CA
- NPI 1679589329
-
- Cardiovascular Disease Physician
- San Diego, CA
- NPI 1366459190
-
- Cardiovascular Disease Physician
- San Diego, CA
- NPI 1962418889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320624000000",
"number": "1912912403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "SUITE 512",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032231",
"telephone_number": "619-297-0014",
"fax_number": "619-297-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WASHINGTON ST",
"address_2": "SUITE 512",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032231",
"telephone_number": "619-297-0014",
"fax_number": "619-297-1014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO ARRHYTHMIA ASSOCIATES, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2011-11-07",
"status": "A",
"authorized_official_last_name": "WADHWA",
"authorized_official_first_name": "MANISH",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "619-297-0014",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "G84648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "X-RAY/FLUOROSCOPY",
"identifier": "RHC150029",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G846480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- San Diego American Indian Health Center
- San Diego American Indian Health Center
- San Diego and Orange County Lasik Institute
- San Diego Anesthesia Consultants
- San Diego Anesthesia LLC
- San Diego Blood Bank
- San Diego Brainworks Psychology & Neuropsychology Services
- San Diego Breastfeeding Center
- San Diego Ca Multi Specialty ASC LLC
- San Diego Cardiac Center Medical Group Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.