Pacific Heart And Vascular Medical Group in Stockton - Cardiovascular Disease
Pacific Heart And Vascular Medical Group - NPI 1649208463
Pacific Heart And Vascular Medical Group is a Cardiovascular Disease in Stockton, California. Pacific Heart And Vascular Medical Group practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Pacific Heart And Vascular Medical Group is 1649208463. The last update date is 2020-03-02.
Pacific Heart And Vascular Medical Group's current location address is 1801 E March Lane, Stockton, California. You can contact this provider via phone number 2094643615 and fax number 2094641311. The mailing address for Pacific Heart And Vascular Medical Group is 1801 E March Lane, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Heart And Vascular Medical Group |
|---|---|
| Address | 1801 E March Lane, Stockton, California |
| Phone Number | 2094643615 |
| Fax Number | 2094641311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SUPERVISOR |
|---|---|
| Authorized Official Name | Bohna Katherine |
| Telephone Number | 2094643615 |
NPI Number Detail
| NPI Number | 1649208463 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2020-03-02 |
Provider Mailing Address Detail
| Address | 1801 E March Lane |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952105667 |
| Phone Number | 2094643615 |
| Fax Number | 2094641311 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | FNP33233 |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60057321 | CA | RAILROAD MEDICARE GROUP # | |
| ZZZ59840Z | CA | BC/BS GROUP PROVIDER # | |
| GR0086062 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pacific Heart And Vascular Medical Group by the Centers for Medicare & Medicaid Services?
The Pacific Heart And Vascular Medical Group has been assigned the NPI (National Provider Identifier) 1649208463. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Pacific Heart And Vascular Medical Group is physically located?
The Pacific Heart And Vascular Medical Group is situated at the following address: 1801 E March Lane, Stockton, CA 952105667.
What is Pacific Heart And Vascular Medical Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pacific Heart And Vascular Medical Group is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649208463 to Pacific Heart And Vascular Medical Group?
The Centers for Medicare & Medicaid Services originally issued the 1649208463 to Pacific Heart And Vascular Medical Group on 2006-06-29.
As of what date was the information pertaining to Pacific Heart And Vascular Medical Group, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pacific Heart And Vascular Medical Group, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-03-02.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY