CARDIOLOGY PRACTICE MEDICAL GROUP
NPI 1629132535
Specialist in Northridge, CA

NPI Status: Active since December 22, 2006

Contact Information

17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA
ZIP 91325
Phone: (818) 365-9595
Fax: (818) 365-8955

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  • Specialist

About CARDIOLOGY PRACTICE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Cardiology Practice Medical Group, a provider established in Northridge, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1629132535 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X with license number A33230 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Richard Fernando Pego M.d. (President)

NPI
1629132535
Provider Name
CARDIOLOGY PRACTICE MEDICAL GROUP
Entity Type
Organization
Location Address
17075 DEVONSHIRE ST STE 201 NORTHRIDGE, CA 91325
Location Phone
(818) 365-9595
Location Fax
(818) 365-8955
Mailing Address
17075 DEVONSHIRE ST STE 201 NORTHRIDGE, CA 91325
Mailing Phone
(818) 365-9595
Mailing Fax
(818) 365-8955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-22-2006
Last Update Date
06-15-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
A33230
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RICHARD FERNANDO PEGO M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(818) 365-9595

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
222031992OTHER (01)CABLUE SHIELD
A27082MEDICARE UPIN (02)CA 
GR0091580MEDICAID (05)CA 
060067979OTHER (01)CAMEDICARE RAILROAD
W15511MEDICARE PIN (08)CA 

Reviews for CARDIOLOGY PRACTICE MEDICAL GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629132535
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264923456
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 3 + 4 + 5 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1629132535 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790017218DR. SAMAN FAKHERI M.D.
Individual
Internal Medicine17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
(818) 923-5453
1063886323SAMAN FAKHERI MD INC
Organization
Internal Medicine (Cardiovascular Disease)17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
(818) 923-5453
1396559290 GARY CRISTOFER MOLINA FNP
Individual
Nurse Practitioner (Family)17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
(818) 923-5453
1871475285 ELIZABETH MAIRLA LANDAVERDE NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)17075 DEVONSHIRE ST STE 201
NORTHRIDGE, CA 91325
(818) 923-5453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629132535, enumerated in the NPI registry as an "organization" on December 22, 2006

The provider is located at 17075 Devonshire St Ste 201 Northridge, Ca 91325 and the phone number is (818) 365-9595

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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