Foothill Cardiology Medical Group, Inc. · Foothill Cardiology California Heart Medical Group Inc. · Cardiovascular Disease Physician (2024)

Overview

Foothill Cardiology Medical Group, Inc. is a Cardiovascular Disease Physician (organization) practicing in Pasadena, California. The National Provider Identifier (NPI) is #1255382545, which was assigned on May 12, 2006, and the registration record was last updated on May 9, 2024. The practitioner's main practice location is at 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613; the contact telephone number is 6267934139, and the fax number is 6267934324. The primary taxonomy of Foothill Cardiology Medical Group, Inc. is Cardiovascular Disease Physician (207RC0000X), with specialization in Cardiovascular Disease. The authorized official for Foothill Cardiology Medical Group, Inc. is Loretto Gonzalez (Cfo). Foothill Cardiology Medical Group, Inc. is licensed to practice in the state of California (#26766667).

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 Information

NPI 1255382545
Entity Type Organization
Organization Name FOOTHILL CARDIOLOGY MEDICAL GROUP, INC.
Provider Name FOOTHILL CARDIOLOGY MEDICAL GROUP, INC.
Other Organization Name FOOTHILL CARDIOLOGY CALIFORNIA HEART MEDICAL GROUP INC.
(Former Legal Business Name)
Other Name FOOTHILL CARDIOLOGY CALIFORNIA HEART MEDICAL GROUP INC.
Practice Address 625 S Fair Oaks Ave Ste 215
Pasadena
CA 91105-2613
Practice Telephone 6267934139
Practice Fax Number 6267934324
Mailing Address Po Box 80011
City of Industry
CA 91716-8011
Mailing Telephone 6267932885
Mailing Fax Number 6263969952
Certification Date 2024-05-09
Enumeration Date 2006-05-12
Last Update Date 2024-05-09
Is Organization Subpart N

Authorized Official Information

Official Name LORETTO GONZALEZ
Official Title CFO
Telephone 6267932885

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207RC0000XInternal MedicineCardiovascular Disease193400000X SINGLE SPECIALTY GROUP26766667CA
N261QR0404XClinic/CenterRehabilitation, Cardiac Facilities

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
GR0041530CAMEDICAID

Other Provider Names

Other Organization NameType
Foothill Cardiology California Heart Medical Group Inc.Former Legal Business Name

Taxonomy Information

Primary Taxonomy

Code 207RC0000X
Taxonomy Cardiovascular Disease Physician
Classification Internal Medicine
Specialization Cardiovascular Disease
Grouping Allopathic & Osteopathic Physicians
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.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 261QR0404X
Taxonomy Cardiac Rehabilitation Clinic/Center
Classification Clinic/Center
Specialization Rehabilitation, Cardiac Facilities
Grouping Ambulatory Health Care Facilities

Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Upper Chesapeake Cardiology, LLC 22 S Greene St # Sc3, Baltimore, MD 21201-1544Cardiovascular Disease Physician2024-05-04
Nashmil Hashemi 1329 Sw 16th St Ste 5130, Gainesville, FL 32608-1128Cardiovascular Disease Physician2024-05-06
Infinity Wellness Institute Inc 10780 Santa Monica Blvd Ste 350, Los Angeles, CA 90025-4779Cardiovascular Disease Physician2024-04-19
Upper Chesapeake Cardiology, LLC 2027 Pulaski Hwy Ste 207, Havre De Grace, MD 21078-2147Cardiovascular Disease Physician2024-04-25
Ams Cardiovascular Asc PC 507 Prudential Rd, Horsham, PA 19044-2308Cardiovascular Disease Physician2024-04-09
Upper Chesapeake Cardiology, LLC 2027 Pulaski Hwy Ste 206, Havre De Grace, MD 21078-2147Cardiovascular Disease Physician2024-04-25
West Virginia University Medical Corporation 201 E 5th Ave, Ranson, WV 25438-1678Cardiovascular Disease Physician2024-05-10
Patrick Hourani, Md, LLC 3659 S Miami Ave Ste 5008, Miami, FL 33133-4221Cardiovascular Disease Physician2024-04-12
Pinnacle Heart and Vascular Inc 611 S Carlin Springs Rd Ste 402, Arlington, VA 22204-1087Cardiovascular Disease Physician2024-04-16
Usa Health Community Providers LLC 6300 Usa Health Blvd, Mobile, AL 36608-0020Cardiovascular Disease Physician2024-04-22
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Location Information

Street Address 625 S FAIR OAKS AVE STE 215
City PASADENA
State CA
Zip Code 91105-2613
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Louise Caroline Lalonde 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613Nurse Practitioner2006-07-21
Kathy Trinh 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613Family Nurse Practitioner2021-02-15
Amish A Patel 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613Internal Medicine Physician2010-03-22
Kaitlyn Min Park · Kaitlyn J Min 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613Family Nurse Practitioner2019-03-14
Tishangi Kumar Agrawal 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613Geriatric Medicine (Internal Medicine) Physician2012-04-30
Leo Ungar 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613Student in an Organized Health Care Education/Training Program2014-05-09
Evann E Eisenberg 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613Student in an Organized Health Care Education/Training Program2012-01-23

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Glaucoma Associates of Los Angeles 625 S Fair Oaks Ave Ste 265, Pasadena, CA 91105-2613Ophthalmology Physician2018-05-16
Channara Tep 625 S Fair Oaks Ave, Suite 200, Pasadena, CA 91105-2613Behavioral Analyst2016-05-09
Emily F Chau 625 S Fair Oaks Ave Ste 155, Pasadena, CA 91105-2613Foot & Ankle Surgery Podiatrist2017-06-22
Kasalyn Thuvamontolrat 625 S Fair Oaks Ave, Suite 325, Pasadena, CA 91105-2613Acute Care Nurse Practitioner2017-01-23
Jules Stein Eye Institute Medical Group · Doheny Eye Center Ucla - Pasadena 625 S Fair Oaks Ave, Suite 280, Pasadena, CA 91105-2613Durable Medical Equipment & Medical Supplies2016-05-03
Juan Diego Fernandez 625 S Fair Oaks Ave Ste 285, Pasadena, CA 91105-2613Neuro-ophthalmology Physician2017-04-15
Malia Rhiannon Kehaunani Woolsey 625 S Fair Oaks Ave, Suite 215, Pasadena, CA 91105-2613Nurse Practitioner2013-09-09
Yan Liu 625 S Fair Oaks Ave Ste 225, Pasadena, CA 91105-2613Acupuncturist2021-05-11
Nariman Nassiri 625 S Fair Oaks Ave, Pasadena, CA 91105-2613Student in an Organized Health Care Education/Training Program2017-04-10
Leonard Larino 625 S Fair Oaks Ave # 215, Pasadena, CA 91105-2613Registered Nurse2021-07-19
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
David Marcus Md, Inc. 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105Psychiatry Physician2018-03-27
Rebecca Wallace 10 Congress St. Suite 300, Pasadena, CA 91105Audiologist-Hearing Aid Fitter2018-10-11
Arbis Rojas Md Inc 950 S Arroyo Pkwy Fl 3, Pasadena, CA 91105Geriatric Medicine (Internal Medicine) Physician2017-06-29
Douglas Bear 200 E. Del Mar Blvd., Suite 210, Pasadena, CA 91105Massage Therapist2023-10-17
Amanda Grace Gentz 210 S De Lacey, Ste 110, Pasadena, CA 91105Rehabilitation Practitioner2017-06-13
Lissah Beth Lorberbaum 556 S. Fair Oaks Ave. Ste 101-119, Pasadena, CA 91105Marriage & Family Therapist2021-01-13
Lucy Chen 100 W. California Blvd, Gme Office, Pasadena, CA 91105Student in an Organized Health Care Education/Training Program2021-07-23
Lilit Van Den Berg 66 Hurlbut, 2, Pasadena, CA 91105Mental Health Counselor2017-07-02
Whitney Catalano 100 S Orange Grove Blvd, 103, Pasadena, CA 91105Registered Dietitian2017-11-03
Sharlene Carig 760 S Pasadena Ave, Pasadena, CA 91105Registered Nurse2023-10-03
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Providers with similar names

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Foothill Medical Pharmacy Inc · Foothill Pharmacy 7220 Foothill Blvd, Tujunga, CA 91042-2719Community/Retail Pharmacy2018-05-01
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Southern California Cardiology Medical Group, Inc. 6386 Alvarado Ct, Suite 101, San Diego, CA 92120-4905Non-Pharmacy Dispensing Site2013-05-30
San Jose Foothill Family Community Clinic, Inc. · Foothill Health Center, Inc. 2060 Aborn Rd Ste 125, San Jose, CA 95121-1586Federally Qualified Health Center (FQHC)2017-10-17
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Foothill Industrial Medical Clinics, Inc. · Foothill Medical Center 6520 N Irwindale Ave, Irwindale, CA 91702-2801Internal Medicine Physician2007-06-04
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Foothill Community Free Methodist Church · Foothill Counseling Center 777 E Alosta Ave, Azusa, CA 91702-3102Marriage & Family Therapist2017-03-03
Daystar Medical Corporation · Foothill Medical Clinic 954 W Foothill Blvd, #B, Upland, CA 91786-3713Chiropractor2007-02-05
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.

Foothill Cardiology Medical Group, Inc.  · Foothill Cardiology California Heart Medical Group Inc. · Cardiovascular Disease Physician (2024)
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