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

Active since February 15, 2006CLIA Certified · 2 labs
7301 MEDICAL CENTER DR STE 201, WEST HILLS, CA 91307(818) 702-8800(818) 702-0080 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2025, Jun 13, 2023, Jul 21, 2022 (3 updates tracked since 2022).

About Interventional Cardiology Medical Group, Inc NPPES

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

INTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC (NPI 1396719480) is a healthcare organization registered as a cardiovascular disease in West Hills, California and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Lacie Connolly, Director Of Operations & Devlopment, as its authorized official.

NPPES Registry Identity

NPI1396719480
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameINTERVENTIONAL CARDIOLOGY MEDICAL GROUP, INC
Location Address7301 MEDICAL CENTER DR STE 201West Hills, CA 91307-1935
Mailing Address7301 Medical Center Dr Ste 201West Hills, CA 91307-1935 · (818) 702-8800 · Fax (818) 702-0080
Fax(818) 702-0080
Organization SubpartNo
Authorized OfficialLacie ConnollyDirector Of Operations & Devlopment · (818) 702-8800
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1396719480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
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.
Also ListedNuclear Medicine · Nuclear Imaging & TherapyTaxonomy 207UN0902X
7301 MEDICAL CENTER DR STE 201, West Hills, CA 91307

Secondary Practice Locations 2

Location 1227 W Janss Rd Ste 310Thousand Oaks, CA 91360-1889 · Phone (805) 576-7533 · Fax (818) 702-0080
Location 22230 Lynn Rd Ste 101Thousand Oaks, CA 91360-1917 · Phone (805) 576-7533

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 05D0963455

Interventional Cardiology Medical Group Inc · West Hills, CA
Active · expires Jul 28, 2027
CLIA Number05D0963455
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorDr. Rafii Farhad
Laboratory Phone(818) 702-8800
Laboratory LocationInterventional Cardiology Medical Group Inc7301 Medical Center Drive, Suite 201, West Hills, CA 91307
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2325167

Interventional Cardiology Medical Group, Inc · Thousand Oaks, CA
Active · expires Jun 8, 2027
CLIA Number05D2325167
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorFarhad Rafi
Laboratory Phone(805) 576-7533
Laboratory LocationInterventional Cardiology Medical Group, Inc2230 Lynn Road, #101, Thousand Oaks, CA 91360
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
7301 MEDICAL CENTER DR STE 201
WEST HILLS, CA 91307
Physician Assistant
7301 MEDICAL CENTER DR STE 201
WEST HILLS, CA 91307
Internal Medicine (Cardiovascular Disease)
7301 MEDICAL CENTER DR STE 201
WEST HILLS, CA 91307
Internal Medicine (Clinical Cardiac Electrophysiology)
7301 MEDICAL CENTER DR STE 201
WEST HILLS, CA 91307

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 Interventional Cardiology Medical Group, Inc's NPI number?

The NPI number for Interventional Cardiology Medical Group, Inc is 1396719480. It was assigned to this organization in the NPPES registry on February 15, 2006.

Where is Interventional Cardiology Medical Group, Inc located?

Interventional Cardiology Medical Group, Inc is located at 7301 Medical Center Dr Ste 201, West Hills, CA 91307. The listed phone number is (818) 702-8800.

What is Interventional Cardiology Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Interventional Cardiology Medical Group, Inc 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 Interventional Cardiology Medical Group, Inc was last updated on July 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.