CARDIO-PULMONARY ASSOCIATES MEDICAL GROUP INC A PROFESSIONAL CORP (NPI# 1669530176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669530176 |
| Entity Type | Organization |
| Organization Name | CARDIO-PULMONARY ASSOCIATES MEDICAL GROUP INC A PROFESSIONAL CORP |
| Practice Address |
30 Garden Ct Monterey CA 93940-5302 |
| Practice Telephone | 8316468570 |
| Practice Fax Number | 8316465435 |
| Mailing Telephone | 8316468570 |
| Mailing Fax Number | 8316465435 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | JOHN KOOSTRA (MEDICAL DOCTOR) |
| Authorized Official Telephone | 8316468570 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BS GROUP ID # | ZZZ01815Z | 01 |
| CA | GR0085950 | 05 |
| Street Address |
30 GARDEN CT |
| City | MONTEREY |
| State | CA |
| Zip Code | 93940-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515449 | Jeanne Vesey Phillips | Internal Medicine | 30 Garden Ct, B, Monterey, CA 93940-5302 | 2005-08-22 |
| 1962770958 | Diana E Monsalve | Nurse Practitioner | 30 Garden Ct, B, Monterey, CA 93940-5302 | 2011-12-06 |
| 1962662700 | Chad Antony Medawar | Internal Medicine | 30 Garden Ct, Monterey, CA 93940-5302 | 2008-06-16 |
| 1003942491 | Steven Michael Lome | Internal Medicine | 30 Garden Ct, Monterey, CA 93940-5302 | 2007-02-27 |
| 1548345374 | Steven Lewis Goldberg | Internal Medicine | 30 Garden Ct, B, Monterey, CA 93940-5302 | 2006-10-27 |
| 1164513297 | Mary Borses | Internal Medicine | 30 Garden Ct, Suite B, Monterey, CA 93940-5302 | 2006-09-27 |
| 1821009952 | Richard J. Gray | Internal Medicine | 30 Garden Ct, Monterey, CA 93940-5302 | 2006-08-11 |
| 1639129141 | Nicholas K Chee | Internal Medicine | 30 Garden Ct, Monterey, CA 93940-5302 | 2006-05-12 |
| 1922058437 | John M Koostra | Internal Medicine | 30 Garden Ct, Monterey, CA 93940-5302 | 2006-05-12 |
| 1730130204 | Lorinda M Mazza | Nurse Practitioner | 30 Garden Ct, Monterey, CA 93940-5302 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
| 1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
| 1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
| 1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
| 1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
| 1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
| 1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
| Find all providers in zip 93940 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
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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.