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CARDIOLOGY ASSOCIATES MEDICAL GROUP
NPI 1376641449
Clinic/Center - Medical Specialty in Ventura, CA

Active since September 20, 2006CLIA Certified · 2 labs
100 N BRENT ST STE 301, VENTURA, CA 93003(805) 653-0101(805) 641-0434 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2025, Oct 13, 2023 (2 updates tracked since 2023).

About Cardiology Associates Medical Group NPPES

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

CARDIOLOGY ASSOCIATES MEDICAL GROUP (NPI 1376641449) is a healthcare organization registered as a medical specialty in Ventura, California and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Oxnard, and lists Phil Janke, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1376641449
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCARDIOLOGY ASSOCIATES MEDICAL GROUP
Location Address100 N BRENT ST STE 301Ventura, CA 93003-2836
Mailing Address100 N Brent St Ste 301Ventura, CA 93003-2836 · (805) 653-0101 · Fax (805) 643-6285
Phone(805) 653-0101
Fax(805) 641-0434
Organization SubpartNo
Authorized OfficialPhil JankeChief Operating Officer · (805) 275-4590
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1376641449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
100 N BRENT ST STE 301, Ventura, CA 93003
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Secondary Practice Location 1

Location 11701 Solar Dr Ste 150Oxnard, CA 93030-0138 · Phone (805) 278-4020

Other Identifiers 1

MedicaidGR0001490CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cardiology Associates Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Cardiology Associates Medical Group, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Interventional Cardiology4
Cardiac Electrophysiology3
Cardiovascular Disease (Cardiology)3
Nurse Practitioner1

Clinicians, nearest first (11)

Jeffrey Brackett, MD
Cardiovascular Disease (Cardiology)
NPI 1013919133
100 N BRENT ST STE 301
Ventura, CA 93003
(085) 653-0101
✔ PECOS✔ Accepts MedicareSame address
Jonathan Dukes, M.D.
Cardiac Electrophysiology
NPI 1770790651
100 N BRENT ST STE 301
Ventura, CA 93003
(805) 653-0101
✔ PECOS✔ Accepts MedicareSame address
Omid Fatemi, M.D.
Interventional Cardiology
NPI 1326293143
100 N BRENT ST STE 301
Ventura, CA 93003
(805) 653-0101
✔ PECOS✔ Accepts MedicareSame address
Matthew Hakimi, MD
Cardiac Electrophysiology
NPI 1639433246
100 N BRENT ST STE 301
Ventura, CA 93003
(805) 653-0101
✔ PECOS✔ Accepts MedicareSame address
Paul Kim, MD
Cardiac Electrophysiology
NPI 1548766553
100 N BRENT ST STE 301
Ventura, CA 93003
(805) 653-0101
✔ PECOSSame address
Craig Mansour, MD
Cardiovascular Disease (Cardiology)
NPI 1063516235
100 N BRENT ST STE 301
Ventura, CA 93003
(805) 648-2763
✔ PECOS✔ Accepts MedicareSame address
Shirish Patel, MD
Interventional Cardiology
NPI 1619971538
100 N BRENT ST STE 301
Ventura, CA 93003
(805) 653-0101
✔ PECOS✔ Accepts MedicareSame address
Robert Sogomonian, M.D., M.B.A.
Interventional Cardiology
NPI 1760809164
100 N BRENT ST STE 301
Ventura, CA 93003
(805) 653-0101
✔ PECOS✔ Accepts MedicareSame address
Alon Steinberg, MD
Cardiovascular Disease (Cardiology)
NPI 1740282862
100 N BRENT ST STE 301
Ventura, CA 93003
(805) 653-0101
✔ PECOS✔ Accepts MedicareSame address
Dennis Brooks, MD
Interventional Cardiology
NPI 1376547299
168 N BRENT ST STE 503
Ventura, CA 93003
(805) 653-0101
✔ PECOS0.1 mi
Savannah Harris, NP
Nurse Practitioner
NPI 1952944241
1700 N ROSE AVE STE 350
Oxnard, CA 93030
(805) 200-3225
✔ PECOS✔ Accepts Medicare7.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1017092

Cardiology Associates Med Group Inc · Oxnard, CA
Active · expires Sep 15, 2027
CLIA Number05D1017092
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2025
Certificate Expiration DateSeptember 15, 2027
Laboratory DirectorJeffrey C. Brackett MD
Laboratory Phone(805) 653-0101
Laboratory LocationCardiology Associates Med Group Inc1701 Solar Drive Suite 150, Oxnard, CA 93030
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0963447

Cardiology Associates Medical Group · Ventura, CA
Active · expires Jul 28, 2027
CLIA Number05D0963447
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorSiegfried O. Storz MD
Laboratory Phone(805) 653-0101
Laboratory LocationCardiology Associates Medical Group168 N Brent Street Suite 503, Ventura, CA 93003
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cardiology Associates Medical Group's NPI number?

The NPI number for Cardiology Associates Medical Group is 1376641449. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Cardiology Associates Medical Group located?

Cardiology Associates Medical Group is located at 100 N Brent St Ste 301, Ventura, CA 93003. The listed phone number is (805) 653-0101.

What is Cardiology Associates Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Cardiology Associates Medical Group enrolled in Medicare?

Yes. Cardiology Associates Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardiology Associates Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Cardiology Associates Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Interventional Cardiology (4), Cardiac Electrophysiology (3) and Cardiovascular Disease (Cardiology) (3). Of these, 9 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cardiology Associates Medical Group hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cardiology Associates Medical Group was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.