CHILDRENS CARDIAC MEDICAL CLINIC
NPI 1639152820
Pediatrics - Pediatric Cardiology in Arcadia, CA

NPI Status: Active since November 22, 2005

Contact Information

301 W HUNTINGTON DR
#415
ARCADIA, CA
ZIP 91007
Phone: (626) 445-5552
Fax: (626) 445-4411

Get Directions Reviews

  • Organization
  • Pediatrics
  • Pediatric Cardiology

About CHILDRENS CARDIAC MEDICAL CLINIC

Childrens Cardiac Medical Clinic is a pediatrician established in Arcadia, California operating as a Pediatrics with a focus in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1639152820 assigned on November 2005. The practitioner's primary taxonomy code is 2080P0202X with license number G12458 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. 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 L Stephen Gordon M.d. (Owner)

NPI
1639152820
Provider Name
CHILDRENS CARDIAC MEDICAL CLINIC
Entity Type
Organization
Location Address
301 W HUNTINGTON DR #415 ARCADIA, CA 91007
Location Phone
(626) 445-5552
Location Fax
(626) 445-4411
Mailing Address
301 W HUNTINGTON DR #415 ARCADIA, CA 91007
Mailing Phone
(626) 445-5552
Mailing Fax
(626) 445-4411
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
11-22-2005
Last Update Date
07-23-2007
Code Navigator

A pediatrician like Childrens Cardiac Medical Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
G12458
License State
CA
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Group Taxonomy 193400000X 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.

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

L STEPHEN GORDON M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(626) 445-5552

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
00G124580MEDICAID (05)CA 
G12458MEDICARE ID-TYPE UNSPECIFIED (04)CA 
A38688MEDICARE UPIN (02)CA 

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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.
1639152820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266925484
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 5 + 4 + 8 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1639152820 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215934336RICHARD W. VANIS, M.D., P.C.
Organization
Orthopaedic Surgery (Sports Medicine)301 W HUNTINGTON DR STE 617
ARCADIA, CA 91007
(626) 574-9745
1568453967WEST COAST ORTHOPAEDIC MEDICAL GROUP, INC
Organization
Orthopaedic Surgery301 W HUNTINGTON DR SUITE 408
ARCADIA, CA 91007
(626) 821-0707
1417939505DR. THOMAS EUGENE MILES JR. M.D.
Individual
Internal Medicine301 W HUNTINGTON DR
ARCADIA, CA 91007
(626) 445-1595
1679558035DR. IRENE TAN GAW GONZALO M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)301 W HUNTINGTON DR SUITE 212
ARCADIA, CA 91007
(626) 821-5300
1801872890NABIL S DAHI MD INC
Organization
Pain Medicine (Interventional Pain Medicine)301 W HUNTINGTON DR SUITE 215
ARCADIA, CA 91007
(626) 294-4866
1548227796 BABAK TASHAKKOR MD
Individual
Internal Medicine (Cardiovascular Disease)301 W HUNTINGTON DR SUITE 500
ARCADIA, CA 91007
(626) 793-1227
1578570065DR. JOSEPH PAUL FUENTES DDS
Individual
Dentist (Periodontics)301 W HUNTINGTON DR SUITE 507
ARCADIA, CA 91007
(626) 447-0945
1073626776TIMOTHY A PHAM, M.D., A MEDICAL CORPORATION
Organization
Clinic/Center (Medical Specialty)301 W HUNTINGTON DR 206
ARCADIA, CA 91007
(626) 461-0360
1720195977MR. JAMES JUI-YANG CHUANG MD
Individual
Radiology (Radiation Oncology)301 W HUNTINGTON DR 120
ARCADIA, CA 91007
(626) 574-3657
1619070661MR. CHUGO EDDIE RINOIE DPM
Individual
Podiatrist301 W HUNTINGTON DR #300
ARCADIA, CA 91007
(626) 821-9323
1366522427DR. ANDREW F. PHILLIPS M.D.
Individual
Optometrist (Low Vision Rehabilitation)301 W HUNTINGTON DR SUITE 605
ARCADIA, CA 91007
(626) 446-1600
1245314038 JOSEPHINE VILLARAMA O.T.
Individual
Occupational Therapist301 W HUNTINGTON DR SUITE 618
ARCADIA, CA 91007
(626) 821-6928
1609945096MR. HARSHAD H GAJJAR MS PHARMACY
Individual
Pharmacist301 W HUNTINGTON DR STE 117
ARCADIA, CA 91007
(626) 294-4855
1053473934MRS. HYMAVATHI VELKURU M.D.
Individual
Pediatrics301 W HUNTINGTON DR SUITE #327
ARCADIA, CA 91007
(626) 447-8138
1326196635MS. GINAMARIE FARINO PA-C
Individual
Physician Assistant301 W HUNTINGTON DR SUITE 210
ARCADIA, CA 91007
(626) 254-8670
1295885382 GARY BRUCE JACOBSEN DDS
Individual
Dentist (General Practice)301 W HUNTINGTON DR SUITE 204
ARCADIA, CA 91007
(626) 445-8048
1619020484GREGORY J WITHERS MD INC A MEDICAL CORP
Organization
Neurological Surgery301 W HUNTINGTON DR SUITE 407
ARCADIA, CA 91007
(626) 821-3440
1750572020DR. L STEPHEN GORDON M.D.
Individual
Pediatrics (Pediatric Cardiology)301 W HUNTINGTON DR SUITE 415
ARCADIA, CA 91007
(626) 445-5552
1225208168SOUTHERN CALIFORNIA HEART SPECIALISTS
Organization
Internal Medicine301 W HUNTINGTON DR SUITE 500
ARCADIA, CA 91007
(626) 294-4888
1407145808PHARMAPAIN, INC
Organization
Pain Medicine (Pain Medicine)301 W HUNTINGTON DR SUITE 215
ARCADIA, CA 91007
(626) 294-4866

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639152820, enumerated in the NPI registry as an "organization" on November 22, 2005

The provider is located at 301 W Huntington Dr #415 Arcadia, Ca 91007 and the phone number is (626) 445-5552

This medical organization specializes in Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology

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.

This NPI record was last updated on November 22, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.