FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC.
NPI 1912029901
Internal Medicine - Cardiovascular Disease in Fountain Valley, CA

Active since April 03, 2007CLIA 05D0581639 · Waiver
11100 WARNER AVENUE, SUITE # 268, FOUNTAIN VALLEY, CA 92708(714) 540-9911(714) 549-9720 Get Directions Write a Review

NPPES record last updated: March 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountain Valley Cardiology Medical Clinic Inc. NPPES

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

FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC. (NPI 1912029901) is a healthcare organization registered as a cardiovascular disease in Fountain Valley, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Shankarlingam Sainath, President, as its authorized official.

NPPES Registry Identity

NPI1912029901
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameFOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC.
Location Address11100 WARNER AVENUE, SUITE # 268Fountain Valley, CA 92708-7512
Mailing Address11100 Warner Avenue, Suite # 268Fountain Valley, CA 92708-7512 · (714) 540-9911 · Fax (714) 549-9720
Fax(714) 549-9720
Organization SubpartNo
Authorized OfficialShankarlingam SainathPresident · (714) 540-9911
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 16, 2012
NPI 1912029901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in CA · A25451 Licensed in CA · A31505
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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License A25691 (CA)
11100 WARNER AVENUE, Fountain Valley, CA 92708

Other Identifiers 11

Other1366500514Individual Npi Malhotra
OtherA25451CA · State Id Singh
OtherA31505CA · State Id Malhotra
OtherWA31505BPtan Malhotra
Other1811050081Individual Npi Sainath
OtherWA25691EPtan Sainath
Medicare PINW1608
Other1114085362Individual Npi Singh
OtherA25691CA · State Id Sainath
OtherWA25451CPtan Singh
MedicaidZZZ71176ZCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D0581639

Fountain Valley Cardiology Medical Clinic, Inc · Fountain Valley, CA
Active · expires Jan 8, 2027
CLIA Number05D0581639
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorShankarlingam Sainath
Laboratory Phone(714) 540-9911
Laboratory LocationFountain Valley Cardiology Medical Clinic, Inc11100 Warner Ave #268, Fountain Valley, CA 92708
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fountain Valley Cardiology Medical Clinic Inc.'s NPI number?

The NPI number for Fountain Valley Cardiology Medical Clinic Inc. is 1912029901. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Fountain Valley Cardiology Medical Clinic Inc. located?

Fountain Valley Cardiology Medical Clinic Inc. is located at 11100 Warner Avenue Suite # 268, Fountain Valley, CA 92708. The listed phone number is (714) 540-9911.

What is Fountain Valley Cardiology Medical Clinic Inc.'s specialty?

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

Does Fountain Valley Cardiology Medical Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0581639) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fountain Valley Cardiology Medical Clinic Inc. was last updated on March 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.