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CARDIOLOGY PRACTICE MEDICAL GROUP
NPI 1629132535
Specialist in Northridge, CA

Active since December 22, 2006
17075 DEVONSHIRE ST STE 201, NORTHRIDGE, CA 91325(818) 365-9595(818) 365-8955 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cardiology Practice Medical Group NPPES

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

CARDIOLOGY PRACTICE MEDICAL GROUP (NPI 1629132535) is a healthcare organization registered as a specialist in Northridge, California and active in the NPI registry since December 2006. The organization lists Richard Fernando Pego, President, as its authorized official.

NPPES Registry Identity

NPI1629132535
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCARDIOLOGY PRACTICE MEDICAL GROUP
Location Address17075 DEVONSHIRE ST STE 201Northridge, CA 91325-5407
Mailing Address17075 Devonshire St Ste 201Northridge, CA 91325-5407 · (818) 365-9595 · Fax (818) 365-8955
Phone(818) 365-9595
Fax(818) 365-8955
Organization SubpartNo
Authorized OfficialRichard Fernando PegoPresident · (818) 365-9595
Enumeration DateDecember 22, 2006
Last NPPES UpdateJune 15, 2010
✔ NPI 1629132535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A33230
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17075 DEVONSHIRE ST STE 201, Northridge, CA 91325
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Other Identifiers 5

Other222031992CA · Blue Shield
Medicare UPINA27082CA
MedicaidGR0091580CA
Other060067979CA · Medicare Railroad
Medicare PINW15511CA

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

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.

SAMAN FAKHERI MD INC
Internal Medicine (Cardiovascular Disease)
17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
Los Angeles County (818) 923-5453
GARY CRISTOFER MOLINA FNP
Nurse Practitioner (Family)
17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
Los Angeles County (818) 923-5453
DR. SAMAN FAKHERI M.D.
Internal Medicine
17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
Los Angeles County (818) 923-5453
ELIZABETH MAIRLA LANDAVERDE NURSE PRACTITIONER
Nurse Practitioner (Family)
17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
Los Angeles County (818) 923-5453

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 Practice Medical Group's NPI number?

The NPI number for Cardiology Practice Medical Group is 1629132535. It was assigned to this organization in the NPPES registry on December 22, 2006.

Where is Cardiology Practice Medical Group located?

Cardiology Practice Medical Group is located at 17075 Devonshire St Ste 201, Northridge, CA 91325. The listed phone number is (818) 365-9595.

What is Cardiology Practice Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Cardiology Practice Medical Group was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.