INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC
NPI 1396719480
Internal Medicine - Cardiovascular Disease in West Hills, CA

NPI Status: Active since February 15, 2006

Contact Information

7301 MEDICAL CENTER DR STE 201
WEST HILLS, CA
ZIP 91307
Phone: (818) 702-8800
Fax: (818) 702-0080

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 05D0963455
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-28-2025

About INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for Interventional Cardiology Medical Group, Inc, an internist established in West Hills, California operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1396719480 assigned on February 2006. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated July 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lacie Connolly (Director Of Operations & Devlopment)

NPI
1396719480
Provider Name
INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC
Entity Type
Organization
Location Address
7301 MEDICAL CENTER DR STE 201 WEST HILLS, CA 91307
Location Phone
(818) 702-8800
Location Fax
(818) 702-0080
Mailing Address
7301 MEDICAL CENTER DR STE 201 WEST HILLS, CA 91307
Mailing Phone
(818) 702-8800
Mailing Fax
(818) 702-0080
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2006
Last Update Date
07-07-2025
Code Navigator

An internist like Interventional Cardiology Medical Group, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 227 W Janss Rd Ste 310
    Thousand Oaks, CA 91360
    (805) 576-7533
  • 2230 Lynn Rd Ste 101
    Thousand Oaks, CA 91360
    (805) 576-7533

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License State
CA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

(CA)
2207UN0902XAllopathic & Osteopathic Physicians

Nuclear Medicine
Nuclear Imaging & Therapy

(CA)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LACIE CONNOLLY

Authorized Official Title
DIRECTOR OF OPERATIONS & DEVLOPMENT
Authorized Official Phone
(818) 702-8800

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0963455
Facility Type
Physician Office
Certificate Effective Date
July 29, 2023
Certificate Expiration Date
July 28, 2025
Laboratory Director
DR. RAFII FARHAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Interventional Cardiology Medical Group, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396719480
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2318614118416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 4 + 1 + 1 + 8 + 4 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1396719480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

FARHAD RAFII M.D.

Internal Medicine

(Cardiovascular Disease)

7301 MEDICAL CENTER DR STE 201
WEST HILLS, CA
ZIP 91307

(818) 702-8800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396719480, enumerated as an "organization" on February 15, 2006.

The provider is located at 7301 MEDICAL CENTER DR STE 201 WEST HILLS, CA 91307 and the phone number is (818) 702-8800.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.