CABRILLO CARDIOLOGY MEDICAL GROUP INC.
NPI 1518930270
Internal Medicine - Cardiovascular Disease in Camarillo, CA

NPI Status: Active since February 10, 2006

Contact Information

400 CAMMARILLO RANCH RD
STE 205
CAMARILLO, CA
ZIP 93010
Phone: (805) 351-8212
Fax: (805) 351-8217

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  • Organization
  • Internal Medicine
  • Cardiovascular Disease
  • CLIA Number: 05D0932654
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 04-09-2025

About CABRILLO CARDIOLOGY MEDICAL GROUP INC.

Cabrillo Cardiology Medical Group Inc. is an internist established in Camarillo, California operating as a Internal Medicine with a focus in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1518930270 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 8 years ago. Cabrillo Cardiology Medical Group Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Kristi Boschee (Office Manager)

NPI
1518930270
Provider Name
CABRILLO CARDIOLOGY MEDICAL GROUP INC.
Entity Type
Organization
Location Address
400 CAMMARILLO RANCH RD STE 205 CAMARILLO, CA 93010
Location Phone
(805) 351-8212
Location Fax
(805) 351-8217
Mailing Address
2241 WANKEL WAY STE C OXNARD, CA 93030
Mailing Phone
(805) 351-8212
Mailing Fax
(805) 351-8217
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
02-10-2006
Last Update Date
11-09-2016
Code Navigator

An internist like Cabrillo 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.

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
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

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. KRISTI BOSCHEE

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(805) 351-8212

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W298MEDICARE PIN (08) 

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
05D0932654
Facility Type
Physician Office
Certificate Effective Date
April 10, 2023
Certificate Expiration Date
April 09, 2025
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cabrillo 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.
1518930270
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25281830214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 8 + 3 + 0 + 2 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1518930270 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518930270, enumerated in the NPI registry as an "organization" on February 10, 2006

The provider is located at 400 Cammarillo Ranch Rd Ste 205 Camarillo, Ca 93010 and the phone number is (805) 351-8212

This medical organization specializes in Internal Medicine with taxonomy code 207RC0000X with a focus in Cardiovascular Disease

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D0932654 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on February 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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