Pacific Heart And Vascular Medical Group in Stockton - Cardiovascular Disease
Pacific Heart And Vascular Medical Group - NPI 1790712990
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 1790712990. The last update date is 2020-03-02.
Pacific Heart And Vascular Medical Group's current location address is 1801 E March Ln, 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 Ln, 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 Ln, 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 | 1790712990 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2020-03-02 |
Provider Mailing Address Detail
| Address | 1801 E March Ln |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952106629 |
| 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ59847Z | CA | BC/BS GRP PROVIDER # | |
| GR0086060 | CA | -- | |
| 60057321 | CA | RAILROAD MEDICARE GROUP # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pacific Heart And Vascular Medical Group?
The Pacific Heart And Vascular Medical Group has been issued the NPI (National Provider Identifier) 1790712990 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Pacific Heart And Vascular Medical Group is located?
The Pacific Heart And Vascular Medical Group is situated at the following address: 1801 E March Ln, Stockton, CA, 952106629.
What is Pacific Heart And Vascular Medical Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pacific Heart And Vascular Medical Group's specialized field of practice is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of specialization is 207Rc0000X.
On what date did the Pacific Heart And Vascular Medical Group receive the assignment of its 1790712990 from the Centers for Medicare & Medicaid Services?
The Pacific Heart And Vascular Medical Group was issued its 1790712990 by the Centers for Medicare & Medicaid Services on 2006-06-26.
When was the information regarding Pacific Heart And Vascular Medical Group most recently updated?
The details pertaining to the Pacific Heart And Vascular Medical Group, including its address, specialty, and other relevant information, were last refreshed on 2020-03-02.