CALIFORNIA HEART ASSOCIATES NPI 1659420495

NPI Information

  • NPI: 1659420495
  • Provider Name: CALIFORNIA HEART ASSOCIATES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 05D0971215
  • Address: 18111 BROOKHURST ST
    SUITE 5100
    FOUNTAIN VALLEY, CA
    ZIP 92708
  • Phone: (714) 546-2238

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NPI Details

CALIFORNIA HEART ASSOCIATES is a specialist in Fountain Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CALIFORNIA HEART ASSOCIATES NPI is 1659420495. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18111 BROOKHURST ST
SUITE 5100
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 546-2238
Fax: (714) 434-8145

The provider's authorized official is Grace Huynh .
The authorized official title is Adminstrator and has the following contact phone number (714) 546-2238.

The CLIA number assigned to this NPI record is 05D0971215 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 6/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1YYY49298YMEDICAIDCALIFORNIA
2=========OTHERCALIFORNIATAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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