CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC – NPI #1912114075
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC is a provider located in PASADENA, CA. NPPES has assigned the NPI number 1912114075 to CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC on May 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was last updated on Apr 25, 2026. 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 CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC below.

NPI Profile for
CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC

NPI Number
1912114075
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
CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC
Primary location
3235 E COLORADO BLVD
SUITE 201
PASADENA, CA 91107-3813
Phone: (626) 577-7050 Fax: (626) 577-7059
1 Other location(s):
4544 N Grand Ave
Covina, CA 91724-2431
Phone: (626) 577-7050
Fax: (626) 251-7438
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LORI IBARRA
BILLING MANAGER
Phone: (626) 657-7172
Updated
Certification Date
Apr 25, 2026

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.

Identifiers

Identifiers for CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC

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
otherSTATE LICENSECAA53493
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
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)
CA A53493

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.