1. Home
  2. Directory
  3. California
  4. San Diego
  5. Internal Medicine
  6. NPI Profile

SAN DIEGO CARDIAC CENTER MEDICAL GROUP INC
NPI 1801980446
Internal Medicine - Cardiovascular Disease in San Diego, CA

Active since October 03, 2006CLIA 05D1058225 · Waiver
3131 BERGER AVE, STE 200, SAN DIEGO, CA 92123(858) 244-6800(858) 244-6892 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About San Diego Cardiac Center Medical Group Inc NPPES

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

SAN DIEGO CARDIAC CENTER MEDICAL GROUP INC (NPI 1801980446) is a healthcare organization registered as a cardiovascular disease in San Diego, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Janet Hake, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1801980446
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSAN DIEGO CARDIAC CENTER MEDICAL GROUP INC
Location Address3131 BERGER AVE, STE 200San Diego, CA 92123-4233
Mailing Address3131 Berger Ave, Ste 200San Diego, CA 92123-4233 · (858) 244-6800 · Fax (858) 244-6892
Phone(858) 244-6800
Fax(858) 244-6892
Organization SubpartNo
Authorized OfficialJanet HakeChief Administrative Officer · (858) 244-6870
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1801980446 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 · B1987012812
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.
3131 BERGER AVE, San Diego, CA 92123
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0021760CA

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 05D1058225

San Diego Cardiac Center Medical Group, Inc · San Diego, CA
Active · expires Aug 30, 2026
CLIA Number05D1058225
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorDr. Hirsch Mehta
Laboratory Phone(858) 244-6800
Laboratory LocationSan Diego Cardiac Center Medical Group, Inc3131 Berger Ave Ste 200, San Diego, CA 92123
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 15

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

DR. RAYMOND CHINN M.D.
Internal Medicine (Infectious Disease)
3131 BERGER AVE, SUITE 200
SAN DIEGO, CA 92123
San Diego County (619) 846-5890
CHARLES A ATHILL M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
3131 BERGER AVE, SUITE 200
SAN DIEGO, CA 92123
San Diego County (858) 244-6800
BRIAN E JASKI M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3131 BERGER AVE
SAN DIEGO, CA 92123
San Diego County (858) 244-6800
JUDY HWANG KETCHAM RN, FNP
Nurse Practitioner (Family)
3131 BERGER AVE
SAN DIEGO, CA 92123
San Diego County (858) 244-6800
RONALD H MILLER M.D.
Internal Medicine (Cardiovascular Disease)
3131 BERGER AVE
SAN DIEGO, CA 92123
San Diego County (858) 244-6800
DR. HIRSCH S MEHTA MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3131 BERGER AVE, SUITE 200
SAN DIEGO, CA 92123
San Diego County (858) 244-6800
VALARIE GIANGARRA PA-C
Physician Assistant
3131 BERGER AVE
SAN DIEGO, CA 92123
San Diego County (858) 244-6800
DR. RAGHAVA R. GOLLAPUDI M.D.
Internal Medicine (Interventional Cardiology)
3131 BERGER AVE, SUITE 200
SAN DIEGO, CA 92123
San Diego County (858) 244-6865

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 San Diego Cardiac Center Medical Group Inc's NPI number?

The NPI number for San Diego Cardiac Center Medical Group Inc is 1801980446. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is San Diego Cardiac Center Medical Group Inc located?

San Diego Cardiac Center Medical Group Inc is located at 3131 Berger Ave Ste 200, San Diego, CA 92123. The listed phone number is (858) 244-6800.

What is San Diego Cardiac Center Medical Group Inc's specialty?

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

Does San Diego Cardiac Center Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1058225) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Diego Cardiac Center Medical Group Inc was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.