Pediatric Cardiologists of Northern California Inc

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

A36417 Issued in CA

Legal business name

PEDIATRIC CARDIOLOGISTS OF NORTHERN CALIFORNIA INC

Practice address

5609 J St
Suite a
Sacramento, CA 95819-3957

Phone

(916) 452-5391

Fax

(916) 452-7471

NPI assigned

Feb 27, 2012

Last updated

Apr 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. Andrew L Juris, M.D.NPI 1376537639

Title

President

Phone

(916) 452-5391

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Andrew Lester Juris, MD

  • Pediatric Cardiology Physician
  • Sacramento, CA
  • NPI 1376537639
  Authorized official Same address or phone

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1922372663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 J ST",
            "address_2": "SUITE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193957",
            "telephone_number": "916-452-5391",
            "fax_number": "916-452-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 J ST",
            "address_2": "SUITE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193957",
            "telephone_number": "916-452-5391",
            "fax_number": "916-452-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGISTS OF NORTHERN CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "JURIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-452-5391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A36417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Peck
• Michael Peck, RN
• Himaja Peddi, M.D.
• Nigel Paul Pedersen, M.D.
• Pediatric Bioscience, Inc.
• Pediatric Medical Associates of Sacramento Inc (Pediatric Associates)
• Pediatric Orthotic and Prosthetic Services-West, LLC
• Pediatric Urgent Care of Sacramento, Inc
• Pediatric Urology Medical Group, Inc.
• Pediatrix Cardiology of Sacramento PC

• Pediatric Cardiology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.