CARDINAL INNOVATIVE MEDICAL PRACTICE, P.C. – NPI #1609284975
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CARDINAL INNOVATIVE MEDICAL PRACTICE, P.C. is a provider located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1609284975 to CARDINAL INNOVATIVE MEDICAL PRACTICE, P.C. on July 30, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is DOCTOR ON DEMAND PROFESSIONALS OF ILLINOIS, BASU LTD.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Oct 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARDINAL INNOVATIVE MEDICAL PRACTICE, P.C. below.

NPI Profile for
CARDINAL INNOVATIVE MEDICAL PRACTICE, P.C.

NPI Number
1609284975
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARDINAL INNOVATIVE MEDICAL PRACTICE, P.C.
Former Legal Business Name: DOCTOR ON DEMAND PROFESSIONALS OF ILLINOIS, BASU LTD.
Primary location
1 CALIFORNIA ST STE 2300
SAN FRANCISCO, CA 94111-5424
Phone: (800) 996-6196 Fax: (833) 523-9924
1 Other location(s):
1 California St Ste 2300
San Francisco, CA 94111-5424
Phone: (415) 504-3838
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TODD THAMES
PRESIDENT
Phone: (800) 997-6196
Updated
Certification Date
Oct 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
101Y00000X
- Counselor

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1 CALIFORNIA ST STE 2300,
SAN FRANCISCO, CA 77025-1669