Temecula Valley Cardiology Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC.

Practice address

25470 Medical Center Dr Ste 105
Murrieta, CA 92562-4901

Phone

(951) 698-4600

Fax

(951) 514-2542

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Leslie Shaeffer

Title

Practice Manager

Phone

(951) 698-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Temecula Valley Cardiology Medical Group, Inc

  • Cardiovascular Disease Physician
  • Bonsall, CA
  • NPI 1346466646

  O20040603000860

  Same enrollment
• Temecula Valley Cardiology Medical Group, Inc.

  • Cardiovascular Disease Physician
  • Temecula, CA
  • NPI 1801278718

  O20040603000860

  Same enrollment
• Temecula Valley Cardiology Medical Group, Inc.

  • Specialist
  • Menifee, CA
  • NPI 1811265135

  O20040603000860

  Same enrollment

Practitioners 9

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

• Mark M Dang, M.D.

  • Cardiovascular Disease Physician
  • Murrieta, CA
  • NPI 1396783585
  Medicare reassignment Care Compare group NPD
• Steve Hui Jin, M.D.

  • Interventional Cardiology Physician
  • Murrieta, CA
  • NPI 1760596985
  Medicare reassignment Care Compare group NPD
• Herman David Lu, MD

  • Cardiovascular Disease Physician
  • Murrieta, CA
  • NPI 1073596912
  Medicare reassignment Care Compare group NPD
• Lance S Reinherz, MD

  • Cardiovascular Disease Physician
  • Murrieta, CA
  • NPI 1134173750
  Medicare reassignment Care Compare group NPD
• Frederick Wood, MD

  • Specialist
  • Murrieta, CA
  • NPI 1164479473
  Medicare reassignment Care Compare group NPD
• Jeffrey C Chung, MD

  • Cardiovascular Disease Physician
  • Murrieta, CA
  • NPI 1326086604
  Medicare reassignment Care Compare group
• Brenda Gavia

  • Physician Assistant
  • Murrieta, CA
  • NPI 1356098248
  Medicare reassignment Care Compare group
• Destiny Loney

  • Medical Physician Assistant
  • Murrieta, CA
  • NPI 1609760701
  Medicare reassignment
• Amy Su

  • Physician Assistant
  • San Diego, CA
  • NPI 1922674290
  Medicare reassignment

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1922031632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624901",
            "telephone_number": "951-698-4600",
            "fax_number": "951-514-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR STE 105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624901",
            "telephone_number": "951-698-4600",
            "fax_number": "951-514-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY CARDIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "SHAEFFER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "951-698-4600"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G80501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Temecula Valley Anesthesiologists,Inc
• Temecula Valley Comprehensive Center
• Temecula Valley Comprehensive Treatment,WHSC
• Temecula Valley Day Surgery & Pain Therapy Center, Inc.
• Temecula Valley Emergency Medical Associates
• Temecula Valley Facial & Oral Surgery Center

• Specialist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.