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

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

Active since May 17, 2007CLIA 05D1087691 · Waiver
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: October 25, 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 holds a CLIA Waiver certificate valid through August 7, 2028, 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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

California Cardiovascular Care Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to California Cardiovascular Care Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Christakis Christodoulou, M.D.
Cardiovascular Disease (Cardiology)
NPI 1043396732
3235 E COLORADO BLVD SUITE 201
Pasadena, CA 91107
(626) 577-7050
✔ PECOS✔ Accepts MedicareSame address
Paul Hovsepian, M.D.
Cardiovascular Disease (Cardiology)
NPI 1689616153
11 E ADAMS AVE
Alhambra, CA 91801
(626) 872-6215
✔ PECOS✔ Accepts Medicare20 mi
William Discepolo, M.D.
Cardiac Electrophysiology
NPI 1932308137
3235 E COLORADO BLVD STE 201
Pasadena, CA 91107
(310) 896-6474
✔ PECOS✔ Accepts Medicare23 mi
Mei Yee Wong, FNP
Nurse Practitioner
NPI 1174150205
3235 E COLORADO BLVD STE 201
Pasadena, CA 91107
(626) 577-7050
✔ PECOS✔ Accepts Medicare23 mi
Lee Herman, M.D.
Cardiovascular Disease (Cardiology)
NPI 1386697159
900 S 1ST AVE STE C
Arcadia, CA 91006
(626) 566-2750
✔ PECOS26 mi
Naveen Sharma, MD
Cardiovascular Disease (Cardiology)
NPI 1649387499
100 N BRENT ST SUITE 301
Ventura, CA 93003
(805) 648-2763
✔ PECOS✔ Accepts Medicare48 mi

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 05D1087691

California Cardiovascular Care Med Grp Christakis Christodoulou, MD · Pasadena, CA
Active · expires Aug 7, 2028
CLIA Number05D1087691
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2026
Certificate Expiration DateAugust 7, 2028
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.

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.

Is California Cardiovascular Care Medical Group Inc enrolled in Medicare?

Yes. California Cardiovascular Care Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through California Cardiovascular Care Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to California Cardiovascular Care Medical Group 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. The largest specialties are Cardiovascular Disease (Cardiology) (4), Cardiac Electrophysiology (1) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does California Cardiovascular Care Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1087691) is associated with this NPI, valid through August 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 6 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.