SOUTHLAND CARDIOLOGY MEDICAL GROUP (NPI# 1063624534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063624534 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND CARDIOLOGY MEDICAL GROUP |
| Practice Address |
399 E Highland Ave Suite 307 San Bernardino CA 92404-3808 |
| Practice Telephone | 9098817400 |
| Practice Fax Number | 9098817404 |
| Mailing Telephone | 9098817400 |
| Mailing Fax Number | 9098817404 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | DR. SAMI BARHAM NAZZAL (PARTNER) |
| Authorized Official Telephone | 9098817400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A30933 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0079880 | 05 |
| Street Address |
399 E HIGHLAND AVE SUITE 307 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292935 | William W Goral | Otolaryngology | 399 E Highland Ave, Ste 503, San Bernardino, CA 92404-3873 | 2005-06-02 |
| 1831650563 | Dawn M. Terashita, PC | Preventive Medicine | 399 E Highland Ave, Suite 117, San Bernardino, CA 92404-3808 | 2019-03-26 |
| 1114378171 | Thomas Sin Young Chung | Nurse Practitioner | 399 E Highland Ave, Suite 307, San Bernardino, CA 92404-3808 | 2016-06-30 |
| 1972960714 | Robert Williamsen | Pharmacist | 399 E Highland Ave, Ste 103, San Bernardino, CA 92404-3808 | 2016-01-25 |
| 1649698812 | Victoria Kachaturian | Registered Nurse | 399 E Highland Ave, Suite 324, San Bernardino, CA 92404-3808 | 2014-04-03 |
| 1386061364 | Apex Pediatrics, Inc | Clinical Nurse Specialist | 399 E Highland Ave, Suite 329, San Bernardino, CA 92404-3808 | 2014-03-27 |
| 1205262706 | Nadia M Nemeh | Dietitian, Registered | 399 E Highland Ave, Ste 427, San Bernardino, CA 92404-3808 | 2013-09-17 |
| 1093088064 | Nancy Samudio Md & Philis D Ransom Md, Inc, A Professional Medical Cor | Obstetrics & Gynecology | 399 E Highland Ave, Suite 516, San Bernardino, CA 92404-3808 | 2012-02-21 |
| 1487961421 | Pro Office Inc | General Practice | 399 E Highland Ave, 309, San Bernardino, CA 92404-3808 | 2010-09-13 |
| 1700103561 | Inland Empire Medical Network | Internal Medicine | 399 E Highland Ave, Suite 110, San Bernardino, CA 92404-3808 | 2010-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104028448 | Sami B. Nazzal, M.d., F.a.c.c. Inc. | Internal Medicine | 399 E Highland Ave, Suite 307, San Bernardino, CA 92404-3808 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.