LOS ALAMITOS CARDIOVASCULAR
NPI 1720035686
Specialist in Los Alamitos, CA

Q: What is Los Alamitos Internal Medical Group Inc's specialty?

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

Active since May 27, 2006CLIA 05D1052201 · Waiver

5300 KATELLA AVE, LOS ALAMITOS, CA 90720(562) 430-7533(562) 430-8055 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 23, 2022, Jul 21, 2022 (2 updates tracked since 2022).

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About Los Alamitos Cardiovascular NPPES

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

LOS ALAMITOS CARDIOVASCULAR (NPI 1720035686) is a healthcare organization registered as a specialist in Los Alamitos, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Steven T. Forman, President, as its authorized official.

NPPES Registry Identity

NPI1720035686

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLOS ALAMITOS INTERNAL MEDICAL GROUP INC

Location Address5300 KATELLA AVELos Alamitos, CA 90720-2808

Mailing Address5300 Katella AveLos Alamitos, CA 90720-2808 · (562) 430-7533 · Fax (562) 430-8055

Phone(562) 430-7533

Fax(562) 430-8055

Organization SubpartNo

Authorized OfficialSteven T. FormanPresident · (562) 430-7533

Enumeration DateMay 27, 2006

Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2022

✔ NPI 1720035686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A73497

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.

5300 KATELLA AVE, Los Alamitos, CA 90720

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Other Names 1

Doing Business AsLos Alamitos Cardiovascular

Other Identifiers 5

Medicaid00G338210CA

Medicaid00A452500CA

Medicaid00G472290CA

Medicaid00G853440CA

Medicaid00G658950CA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1052201

Los Alamitos Cardiovascular · Los Alamitos, CA

Active · expires Mar 19, 2028

CLIA Number05D1052201

Laboratory TypePhysician Office

Certificate Effective DateMarch 20, 2026

Certificate Expiration DateMarch 19, 2028

Laboratory DirectorSteven Forman MD

Laboratory Phone(562) 430-7533

Laboratory LocationLos Alamitos Cardiovascular5300 Katella Ave, Los Alamitos, CA 90720

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN T. FORMAN M.D.

Internal Medicine (Cardiovascular Disease)