CHILDRENS CARDIAC MEDICAL CLINIC – NPI #1639152820
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Health Care Provider Taxonomy Code for Pediatrics

CHILDRENS CARDIAC MEDICAL CLINIC is a provider located in ARCADIA, CA. NPPES has assigned the NPI number 1639152820 to CHILDRENS CARDIAC MEDICAL CLINIC on November 22, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 19 years ago on Jul 23, 2007. 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 CHILDRENS CARDIAC MEDICAL CLINIC below.

NPI Profile for
CHILDRENS CARDIAC MEDICAL CLINIC

NPI Number
1639152820
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
CHILDRENS CARDIAC MEDICAL CLINIC
Primary location
301 W HUNTINGTON DR
#415
ARCADIA, CA 91007-3462
Phone: (626) 445-5552 Fax: (626) 445-4411
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
L GORDON
OWNER
Phone: (626) 445-5552
Updated
Identifiers

Identifiers for CHILDRENS CARDIAC MEDICAL CLINIC

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
MEDICAIDCA00G124580
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
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)		 CA G12458

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.