FONTANA CARDIOVASCULAR GROUP INC
NPI 1649654062
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Los Angeles, CA

Active since July 15, 2015
8635 WEST THRID STREET, SUITE 750W, LOS ANGELES, CA 90048(310) 659-2030 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Thoracic Surgery (Cardiothoracic Vascula...

About FONTANA CARDIOVASCULAR GROUP INC

This page provides the complete NPI Profile along with additional information for Fontana Cardiovascular Group Inc, a provider established in Los Angeles, California operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1649654062 assigned on July 2015. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Greg P Fontana Md (President)

NPI
1649654062 Verify this NPI
Provider Name
FONTANA CARDIOVASCULAR GROUP INC
Entity Type
Organization
Location Address
8635 WEST THRID STREET SUITE 750W LOS ANGELES, CA 90048
Location Phone
(310) 659-2030
Mailing Address
9663 SANTA MONICA BLVD NO 756 BEVERLY HILLS, CA 90210
Mailing Phone
(310) 721-2285
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2015
Last Update Date
07-15-2015
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

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.

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

GREG P FONTANA MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(310) 721-2285

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649654062, enumerated as an "organization" on July 15, 2015.

The provider is located at 8635 WEST THRID STREET SUITE 750W LOS ANGELES, CA 90048 and the phone number is (310) 659-2030.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.