CARDIOVASCULAR IMAGING MEDICAL GROUP – NPI #1164487799
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CARDIOVASCULAR IMAGING MEDICAL GROUP is a provider located in VAN NUYS, CA. NPPES has assigned the NPI number 1164487799 to CARDIOVASCULAR IMAGING MEDICAL GROUP on April 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 18 years ago on Apr 21, 2008. 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 CARDIOVASCULAR IMAGING MEDICAL GROUP below.

NPI Profile for
CARDIOVASCULAR IMAGING MEDICAL GROUP

NPI Number
1164487799
Enumeration Date

(more than 20 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
CARDIOVASCULAR IMAGING MEDICAL GROUP
Primary location
15107 VANOWEN ST
VAN NUYS, CA 91405-4542
Phone: (818) 782-5041 Fax:
Mailing address
PO BOX 10076
VAN NUYS, CA 91410-0076
Phone: (805) 578-8300 Fax: (805) 578-8950
Organization Subpart
No
Authorized Official
JOHN TSAKONAS
PRESIDENT
Phone: (818) 782-5041
Updated
Identifiers

Identifiers for CARDIOVASCULAR IMAGING MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0085470
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

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.