Pacific Heart Medical Group, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

3227680 Issued in CA

Legal business name

PACIFIC HEART MEDICAL GROUP, INC

Practice address

25470 Medical Center Dr
Suite 201
Murrieta, CA 92562-4900

Phone

(951) 698-4433

Fax

(951) 698-0840

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Festus Dada, M.D.

Title

Owner

Phone

(951) 791-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Michele S. Kalt, MD

  • Cardiovascular Disease Physician
  • Bakersfield, CA
  • NPI 1518026186
  Medicare reassignment
• Vu T Phan, NP

  • Family Nurse Practitioner
  • Anaheim, CA
  • NPI 1528736766
  Medicare reassignment
• Brenda Renae Robinson, P.A.-C

  • Physician Assistant
  • Temecula, CA
  • NPI 1093926982
  Medicare reassignment
• Ernst R Schwarz, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1679634984
  Medicare reassignment

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1932434206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433814",
            "telephone_number": "951-791-1111",
            "fax_number": "951-925-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "SUITE 201",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900",
            "telephone_number": "951-698-4433",
            "fax_number": "951-698-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HEART MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "DADA",
        "authorized_official_first_name": "FESTUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-791-1111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "3227680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C Pace, MD
• Alicia Pacheco
• Angelina Marie Pacheco
• Hector O. Pacheco, M.D.
• Josue Arrezola Pacheco, MT
• Ashley Janae Paculba
• Sandra Padilla
• Skye Padilla
• Marisol Paez
• Vicente Paez, AU.D.

• Cardiovascular Disease Physician in Murrieta, CA
• Providers in Murrieta, 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 Jan 14, 2010; 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.