Oc Healthy Heart LLC

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

134183 Issued in CA

Legal business name

OC HEALTHY HEART LLC

Practice address

438 E Katella Ave Suite B
Orange, CA 92867

Phone

(951) 312-5922

NPI assigned

Feb 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Eubany, MDNPI 1912986944

Title

Board Member

Phone

(951) 312-5922

Specialties & licenses 2

Addresses

Other names 1

• Cardiovascular Wellness Institute of OC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jacqueline A Eubany, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Orange, CA
  • NPI 1912986944
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1992206940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 E KATELLA AVE SUITE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92867",
            "telephone_number": "714-744-5000",
            "fax_number": "714-744-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 E KATELLA AVE SUITE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92867",
            "telephone_number": "951-312-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC HEALTHY HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "EUBANY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "951-312-5922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "134183",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "134183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Wellness Institute of OC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Cardiac Electrophysiology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Cardiac Electrophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.