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CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC
NPI 1912114075
Internal Medicine - Interventional Cardiology in Pasadena, CA

Active since May 17, 2007
3235 E COLORADO BLVD, SUITE 201, PASADENA, CA 91107(626) 577-7050(626) 577-7059 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 25, 2026, Aug 4, 2025, Jan 18, 2023 (3 updates tracked since 2023).

About California Cardiovascular Care Medical Group Inc NPPES

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

CALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC (NPI 1912114075) is a healthcare organization registered as an interventional cardiology in Pasadena, California and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Covina and lists Lori Ibarra, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1912114075
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameCALIFORNIA CARDIOVASCULAR CARE MEDICAL GROUP INC
Location Address3235 E COLORADO BLVD, SUITE 201Pasadena, CA 91107-3813
Mailing Address3235 E Colorado Blvd, Suite 201Pasadena, CA 91107-3813 · (626) 577-7050 · Fax (626) 577-7059
Phone(626) 577-7050
Fax(626) 577-7059
Organization SubpartNo
Authorized OfficialLori IbarraBilling Manager · (626) 657-7172
Enumeration DateMay 17, 2007
Last NPPES UpdateApril 25, 20263 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
✔ NPI 1912114075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in CA · A53493
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
3235 E COLORADO BLVD, Pasadena, CA 91107
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Secondary Practice Location 1

Location 14544 N Grand AveCovina, CA 91724-2431 · Phone (626) 577-7050 · Fax (626) 251-7438

Other Identifiers 1

OtherA53493CA · State License

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 05D1087691

California Cardiovascular Care Med Grp Christakis Christodoulou, MD · Pasadena, CA
Expired · Aug 7, 2026
CLIA Number05D1087691
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorChristakis Christodoulou MD
Laboratory Phone(626) 577-7050
Laboratory LocationCalifornia Cardiovascular Care Med Grp Christakis Christodoulou, MD3235 E Colorado Blvd #201, Pasadena, CA 91107
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. CHRISTAKIS CHRISTODOULOU M.D.
Internal Medicine (Interventional Cardiology)
3235 E COLORADO BLVD, SUITE 201
PASADENA, CA 91107
Los Angeles County (626) 577-7050
DEDICATED TO HEALTH INC
Clinic/Center (Medical Specialty)
3235 E COLORADO BLVD, STE 101
PASADENA, CA 91107
Los Angeles County (626) 799-0557
SEE CLEAR OPTOMETRY A PROFESSIONAL CORPORATION
Optometrist
3235 E COLORADO BLVD, SUITE 101
PASADENA, CA 91107
Los Angeles County (626) 765-6634

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 California Cardiovascular Care Medical Group Inc's NPI number?

The NPI number for California Cardiovascular Care Medical Group Inc is 1912114075. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is California Cardiovascular Care Medical Group Inc located?

California Cardiovascular Care Medical Group Inc is located at 3235 E Colorado Blvd Suite 201, Pasadena, CA 91107. The listed phone number is (626) 577-7050.

What is California Cardiovascular Care Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for California Cardiovascular Care Medical Group Inc was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.