FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC.
NPI 1912029901
Internal Medicine - Cardiovascular Disease in Fountain Valley, CA
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
Specialties & Licenses 2
Other Identifiers 11
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fountain Valley Cardiology Medical Clinic Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Fountain Valley Cardiology Medical Clinic Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Fountain Valley, CA 92708
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Fountain Valley Cardiology Medical Clinic Inc. enrolled in Medicare?
Yes. Fountain Valley Cardiology Medical Clinic Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fountain Valley Cardiology Medical Clinic Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Fountain Valley Cardiology Medical 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Fountain Valley Cardiology Medical Clinic Inc. · NPI 1912029901
Cardiovascular Disease organization in Fountain Valley, California. Organization record, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1912029901 (Entity type: Organization)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Shankarlingam Sainath, PRESIDENT
## Practice location
- **Address:** 11100 WARNER AVENUE, SUITE # 268, Fountain Valley, CA 92708-7512
- **Phone:** (714) 540-9911 · **Fax:** (714) 549-9720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2012
- **Other identifiers:** Other 1366500514; Other A25451 (CA); Other A31505 (CA); and 8 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1912029901) · Data from the CMS NPPES public registry.