HEART CENTER OF RIVERSIDE – NPI #1558414953
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.

Health Care Provider Taxonomy Code for Internal Medicine

HEART CENTER OF RIVERSIDE is a provider located in RIVERSIDE, CA. NPPES has assigned the NPI number 1558414953 to HEART CENTER OF RIVERSIDE on January 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HEART CENTER OF RIVERSIDE” is a dba name, the actual legal business name for this organization is BLACKSTONE MEDICAL CORPORATION. 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 3 years ago on Jan 17, 2023. 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 HEART CENTER OF RIVERSIDE below.

NPI Profile for
BLACKSTONE MEDICAL CORPORATION

NPI Number
1558414953
Enumeration Date

(more than 19 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
BLACKSTONE MEDICAL CORPORATION
Doing Business As (dba): HEART CENTER OF RIVERSIDE
Primary location
6780 INDIANA AVE STE 170
RIVERSIDE, CA 92506-4284
Phone: (951) 680-0909 Fax: (951) 680-0906
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AHMAD ALTURJUMAN
AUTHORIZED OFFICIAL
Phone: (951) 680-0909
Updated
Certification Date
Jan 17, 2023

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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 CA A64941

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.