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SOUTHERN HEART CLINIC, INC.
NPI 1760594451
Internal Medicine - Cardiovascular Disease in Fountain Valley, CA

Active since August 31, 2006
11100 WARNER AVE STE 152, FOUNTAIN VALLEY, CA 92708(714) 432-1212(714) 432-1213 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Heart Clinic, Inc. NPPES

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

SOUTHERN HEART CLINIC, INC. (NPI 1760594451) is a healthcare organization registered as a cardiovascular disease in Fountain Valley, California and active in the NPI registry since August 2006. The organization lists Paul Tien Truong, President/physician, as its authorized official.

NPPES Registry Identity

NPI1760594451
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSOUTHERN HEART CLINIC, INC.
Location Address11100 WARNER AVE STE 152Fountain Valley, CA 92708-7510
Mailing Address11100 Warner Ave Ste 152Fountain Valley, CA 92708-7510 · (714) 432-1212 · Fax (714) 432-1213
Phone(714) 432-1212
Fax(714) 432-1213
Organization SubpartNo
Authorized OfficialPaul Tien TruongPresident/physician · (714) 432-1212
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1760594451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A053527
Definition
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.
11100 WARNER AVE STE 152, Fountain Valley, CA 92708
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Heart Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Heart Clinic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Bao Bui, M.D.
Cardiovascular Disease (Cardiology)
NPI 1801099593
11100 WARNER AVE SUITE 162
Fountain Valley, CA 92708
(714) 432-1212
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern Heart Clinic, Inc.'s NPI number?

The NPI number for Southern Heart Clinic, Inc. is 1760594451. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Southern Heart Clinic, Inc. located?

Southern Heart Clinic, Inc. is located at 11100 Warner Ave Ste 152, Fountain Valley, CA 92708. The listed phone number is (714) 432-1212.

What is Southern Heart Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Southern Heart Clinic, Inc. enrolled in Medicare?

Yes. Southern Heart Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Heart Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Southern Heart Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Heart Clinic, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.