Organization Active NPI

East County Cardiology Inc

  • Cardiovascular Disease Physician
  • Antioch, CA
National Provider Identifier
1952777682
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A51558 Issued in CA
Legal business name
EAST COUNTY CARDIOLOGY INC
Practice address
3200 Lone Tree Way Ste 101
Antioch, CA 94509-5556
Phone
(925) 777-3360
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Dr. Gurunath Rajapuram, MDNPI 1144238510
Title
President
Phone
(925) 777-3360

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A51558 CA Primary

Addresses

Primary practice location

3200 Lone Tree Way Ste 101
Antioch, CA 94509-5556

Mailing address

3200 Lone Tree Way Ste 101
Antioch, CA 94509-5556
Phone (925) 777-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160215001896 CA Part B Supplier - Clinic/Group Practice 5193029932 Receives reassigned benefits from 1 practitioner
Practice locations: Antioch, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1952777682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 LONE TREE WAY STE 101",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095556",
            "telephone_number": "925-777-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LONE TREE WAY STE 101",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945095556",
            "telephone_number": "925-777-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COUNTY CARDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "RAJAPURAM",
        "authorized_official_first_name": "GURUNATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-777-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A51558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.