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
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 207RC0000X | Internal Medicine | Cardiovascular Disease | 193400000X SINGLE SPECIALTY GROUP | 26766667 | CA |
N | 261QR0404X | Clinic/Center | Rehabilitation, Cardiac Facilities |
Other Provider Identifiers
Other Identifier | Issuing State | Issuer | Identifier Type |
---|---|---|---|
GR0041530 | CA | MEDICAID |
Other Provider Names
Other Organization Name | Type |
---|---|
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 Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Upper Chesapeake Cardiology, LLC | 22 S Greene St # Sc3, Baltimore, MD 21201-1544 | Cardiovascular Disease Physician | 2024-05-04 |
Nashmil Hashemi | 1329 Sw 16th St Ste 5130, Gainesville, FL 32608-1128 | Cardiovascular Disease Physician | 2024-05-06 |
Infinity Wellness Institute Inc | 10780 Santa Monica Blvd Ste 350, Los Angeles, CA 90025-4779 | Cardiovascular Disease Physician | 2024-04-19 |
Upper Chesapeake Cardiology, LLC | 2027 Pulaski Hwy Ste 207, Havre De Grace, MD 21078-2147 | Cardiovascular Disease Physician | 2024-04-25 |
Ams Cardiovascular Asc PC | 507 Prudential Rd, Horsham, PA 19044-2308 | Cardiovascular Disease Physician | 2024-04-09 |
Upper Chesapeake Cardiology, LLC | 2027 Pulaski Hwy Ste 206, Havre De Grace, MD 21078-2147 | Cardiovascular Disease Physician | 2024-04-25 |
West Virginia University Medical Corporation | 201 E 5th Ave, Ranson, WV 25438-1678 | Cardiovascular Disease Physician | 2024-05-10 |
Patrick Hourani, Md, LLC | 3659 S Miami Ave Ste 5008, Miami, FL 33133-4221 | Cardiovascular Disease Physician | 2024-04-12 |
Pinnacle Heart and Vascular Inc | 611 S Carlin Springs Rd Ste 402, Arlington, VA 22204-1087 | Cardiovascular Disease Physician | 2024-04-16 |
Usa Health Community Providers LLC | 6300 Usa Health Blvd, Mobile, AL 36608-0020 | Cardiovascular Disease Physician | 2024-04-22 |
Find all providers with the same taxonomy |
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 Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Louise Caroline Lalonde | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | Nurse Practitioner | 2006-07-21 |
Kathy Trinh | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | Family Nurse Practitioner | 2021-02-15 |
Amish A Patel | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | Internal Medicine Physician | 2010-03-22 |
Kaitlyn Min Park · Kaitlyn J Min | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | Family Nurse Practitioner | 2019-03-14 |
Tishangi Kumar Agrawal | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | Geriatric Medicine (Internal Medicine) Physician | 2012-04-30 |
Leo Ungar | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | Student in an Organized Health Care Education/Training Program | 2014-05-09 |
Evann E Eisenberg | 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105-2613 | Student in an Organized Health Care Education/Training Program | 2012-01-23 |
Providers in the same zip code
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Glaucoma Associates of Los Angeles | 625 S Fair Oaks Ave Ste 265, Pasadena, CA 91105-2613 | Ophthalmology Physician | 2018-05-16 |
Channara Tep | 625 S Fair Oaks Ave, Suite 200, Pasadena, CA 91105-2613 | Behavioral Analyst | 2016-05-09 |
Emily F Chau | 625 S Fair Oaks Ave Ste 155, Pasadena, CA 91105-2613 | Foot & Ankle Surgery Podiatrist | 2017-06-22 |
Kasalyn Thuvamontolrat | 625 S Fair Oaks Ave, Suite 325, Pasadena, CA 91105-2613 | Acute Care Nurse Practitioner | 2017-01-23 |
Jules Stein Eye Institute Medical Group · Doheny Eye Center Ucla - Pasadena | 625 S Fair Oaks Ave, Suite 280, Pasadena, CA 91105-2613 | Durable Medical Equipment & Medical Supplies | 2016-05-03 |
Juan Diego Fernandez | 625 S Fair Oaks Ave Ste 285, Pasadena, CA 91105-2613 | Neuro-ophthalmology Physician | 2017-04-15 |
Malia Rhiannon Kehaunani Woolsey | 625 S Fair Oaks Ave, Suite 215, Pasadena, CA 91105-2613 | Nurse Practitioner | 2013-09-09 |
Yan Liu | 625 S Fair Oaks Ave Ste 225, Pasadena, CA 91105-2613 | Acupuncturist | 2021-05-11 |
Nariman Nassiri | 625 S Fair Oaks Ave, Pasadena, CA 91105-2613 | Student in an Organized Health Care Education/Training Program | 2017-04-10 |
Leonard Larino | 625 S Fair Oaks Ave # 215, Pasadena, CA 91105-2613 | Registered Nurse | 2021-07-19 |
Find all providers in the same zip code |
Providers in the same zip code
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
David Marcus Md, Inc. | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | Psychiatry Physician | 2018-03-27 |
Rebecca Wallace | 10 Congress St. Suite 300, Pasadena, CA 91105 | Audiologist-Hearing Aid Fitter | 2018-10-11 |
Arbis Rojas Md Inc | 950 S Arroyo Pkwy Fl 3, Pasadena, CA 91105 | Geriatric Medicine (Internal Medicine) Physician | 2017-06-29 |
Douglas Bear | 200 E. Del Mar Blvd., Suite 210, Pasadena, CA 91105 | Massage Therapist | 2023-10-17 |
Amanda Grace Gentz | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | Rehabilitation Practitioner | 2017-06-13 |
Lissah Beth Lorberbaum | 556 S. Fair Oaks Ave. Ste 101-119, Pasadena, CA 91105 | Marriage & Family Therapist | 2021-01-13 |
Lucy Chen | 100 W. California Blvd, Gme Office, Pasadena, CA 91105 | Student in an Organized Health Care Education/Training Program | 2021-07-23 |
Lilit Van Den Berg | 66 Hurlbut, 2, Pasadena, CA 91105 | Mental Health Counselor | 2017-07-02 |
Whitney Catalano | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | Registered Dietitian | 2017-11-03 |
Sharlene Carig | 760 S Pasadena Ave, Pasadena, CA 91105 | Registered Nurse | 2023-10-03 |
Find all providers in the same zip code |
Similar Providers
Providers with similar names
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Foothill Medical Pharmacy Inc · Foothill Pharmacy | 7220 Foothill Blvd, Tujunga, CA 91042-2719 | Community/Retail Pharmacy | 2018-05-01 |
Foothill Industrial Medical Clinic, Inc. · Valley Orthopedic Medical Center | 6520 N Irwindale Ave, Irwindale, CA 91702-2801 | Orthopaedic Surgery of the Spine Physician | 2007-05-31 |
Southern California Cardiology Medical Group, Inc. | 6386 Alvarado Ct, Suite 101, San Diego, CA 92120-4905 | Non-Pharmacy Dispensing Site | 2013-05-30 |
San Jose Foothill Family Community Clinic, Inc. · Foothill Health Center, Inc. | 2060 Aborn Rd Ste 125, San Jose, CA 95121-1586 | Federally Qualified Health Center (FQHC) | 2017-10-17 |
San Jose Foothill Family Community Clinic, Inc. · Foothill Health Center, Inc. | 9460 N Name Uno, Suite 215, Gilroy, CA 95020-3537 | Federally Qualified Health Center (FQHC) | 2016-12-20 |
Foothill Industrial Medical Clinics, Inc. · Foothill Medical Center | 6520 N Irwindale Ave, Irwindale, CA 91702-2801 | Internal Medicine Physician | 2007-06-04 |
San Jose Foothill Family Community Clinic · Foothill Health Center | 1560 Berger Dr, San Jose, CA 95112-2703 | Federally Qualified Health Center (FQHC) | 2013-07-17 |
Foothill Community Free Methodist Church · Foothill Counseling Center | 777 E Alosta Ave, Azusa, CA 91702-3102 | Marriage & Family Therapist | 2017-03-03 |
Daystar Medical Corporation · Foothill Medical Clinic | 954 W Foothill Blvd, #B, Upland, CA 91786-3713 | Chiropractor | 2007-02-05 |
Foothill Industrial Medical Clinic, Inc · Hyland Nuerology Medical Center | 6520 N Irwindale Ave, Irwindale, CA 91702-2801 | Neurological Surgery Physician | 2007-06-04 |
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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.