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ADVANCED CARDIAC IMAGING CORPORATION
NPI 1013961630
Clinic/Center - Radiology in Downey, CA

Active since May 19, 2006
12632 BELLFLOWER BLVD, DOWNEY, CA 90242(562) 401-0189(562) 401-0160 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Advanced Cardiac Imaging Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED CARDIAC IMAGING CORPORATION (NPI 1013961630) is a healthcare organization registered as a radiology in Downey, California and active in the NPI registry since May 2006. The organization lists Emma Sevilleno Bodota, President, as its authorized official.

NPPES Registry Identity

NPI1013961630
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameADVANCED CARDIAC IMAGING CORPORATION
Location Address12632 BELLFLOWER BLVDDowney, CA 90242-4812
Mailing Address12632 Bellflower BlvdDowney, CA 90242-4812 · (562) 401-0189 · Fax (562) 401-0160
Phone(562) 401-0189
Fax(562) 401-0160
Organization SubpartNo
Authorized OfficialEmma Sevilleno BodotaPresident · (562) 401-0189
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 31, 2012
✔ NPI 1013961630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
12632 BELLFLOWER BLVD, Downey, CA 90242
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Other Identifiers 3

MedicaidIDTF00390CA
Medicare ID-Type UnspecifiedTG214CA · Idtf
Medicare UPINX80496CA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Cardiac Imaging Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20040721001257Non-DME Part B · Independent Diagnostic Testing Facility (IDTF)Due dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
164 services41 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
86 services43 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
42 services42 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
42 services42 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
25 services25 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Cardiac Imaging Corporation's NPI number?

The NPI number for Advanced Cardiac Imaging Corporation is 1013961630. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Advanced Cardiac Imaging Corporation located?

Advanced Cardiac Imaging Corporation is located at 12632 Bellflower Blvd, Downey, CA 90242. The listed phone number is (562) 401-0189.

What is Advanced Cardiac Imaging Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Advanced Cardiac Imaging Corporation enrolled in Medicare?

Yes. Advanced Cardiac Imaging Corporation is registered in the Medicare PECOS enrollment system.

When is Advanced Cardiac Imaging Corporation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Independent Diagnostic Testing Facility (IDTF)) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Advanced Cardiac Imaging Corporation was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.