BTLA VI
NPI 1417345091
Internal Medicine - Cardiovascular Disease in San Diego, CA

Active since January 05, 2015
5555 RESERVOIR DR, SUITE #209, SAN DIEGO, CA 92120(336) 414-6079 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Btla Vi NPPES

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

BTLA VI (NPI 1417345091) is a healthcare organization registered as a cardiovascular disease in San Diego, California and active in the NPI registry since January 2015. The organization lists Behzad Taghizadeh, Manager, as its authorized official.

NPPES Registry Identity

NPI1417345091
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBTLA VI
Location Address5555 RESERVOIR DR, SUITE #209San Diego, CA 92120-5134
Mailing Address5555 Reservoir Dr, Suite #209San Diego, CA 92120-5134
Organization SubpartNo
Authorized OfficialBehzad TaghizadehManager · (336) 414-6079
Enumeration DateJanuary 5, 2015
✔ NPI 1417345091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · C58208
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.
5555 RESERVOIR DR, San Diego, CA 92120

Other Identifiers 3

Medicaid1275514986CA
Medicare UPIN1275514986CA
Medicare PIN1275514986CA

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Btla Vi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Btla Vi, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Cardiovascular Disease (Cardiology)
NPI 1477680551
5555 RESERVOIR DRIVE SUITE 209
San Diego, CA 92120
(619) 582-2404
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1447542659
525 E MAIN ST
El Cajon, CA 92020
(619) 515-2498
✔ PECOS✔ Accepts Medicare5.3 mi
Cardiovascular Disease (Cardiology)
NPI 1275514986
280 AVOCADO AVE
El Cajon, CA 92020
(619) 582-2404
✔ PECOS✔ Accepts Medicare5.8 mi

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

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 Btla Vi's NPI number?

The NPI number for Btla Vi is 1417345091. It was assigned to this organization in the NPPES registry on January 5, 2015.

Where is Btla Vi located?

Btla Vi is located at 5555 Reservoir Dr Suite #209, San Diego, CA 92120. The listed phone number is (336) 414-6079.

What is Btla Vi's specialty?

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

Is Btla Vi enrolled in Medicare?

Yes. Btla Vi is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Btla Vi?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Btla Vi, in Cardiovascular Disease (Cardiology) and Family Practice. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Btla Vi was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.