Organization Active NPI

Cardiovascular Health Center of Nevada

  • Cardiovascular Disease Physician
  • Ramona, CA
National Provider Identifier
1962733881
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR HEALTH CENTER OF NEVADA
Practice address
24220 Yorba Linda CT
Ramona, CA 92065-4165
Phone
(619) 994-3233
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Stace Ruggles
Title
Admin Asst
Phone
(619) 994-3233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

24220 Yorba Linda CT
Ramona, CA 92065-4165

Mailing address

PO Box 2596
La Mesa, CA 91943-2596
Phone (619) 994-3233

Other identifiers 1

IdentifierTypeStateIssuer
2018221MedicaidNV

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1962733881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2596",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432596",
            "telephone_number": "619-994-3233",
            "fax_number": "760-440-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24220 YORBA LINDA CT",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920654165",
            "telephone_number": "619-994-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR HEALTH CENTER OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "RUGGLES",
        "authorized_official_first_name": "STACE",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "619-994-3233"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2018221",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.