FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC.
FOUNTAIN VALLEY CARDIOLOGY MEDICAL CLINIC INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1912029901, based in Fountain Valley, CA. The organization lists 2 taxonomy classifications, with Cardiovascular Disease Physician recorded as primary.
Getting there
The practice address on file is 11100 WARNER AVENUE SUITE # 268, Fountain Valley, CA 92708. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A25451 | CA | Cardiovascular Disease Physician primary |
| A31505 | CA | Cardiovascular Disease Physician |
| A25691 | CA | Gastroenterology Physician |
This provider holds licence A25451 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6103854088
- Enrollment ID
- O20050801001305
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Cardiovascular Disease covers
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NUCC Health Care Provider Taxonomy, code 207RC0000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | A25451 | CA | primary |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | A31505 | CA | |
| 207RG0100X | Gastroenterology Physician Gastroenterology | A25691 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1912029901 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 3, 2007 |
| Last updated | Mar 16, 2012 |
| Status | Active |
| Practice address |
11100 WARNER AVENUE SUITE # 268 Fountain Valley, CA 92708 (714) 540-9911 Fax (714) 549-9720 |
| Other identifiers |
ZZZ71176Z
· Medicaid (CA) A25691 · Other (CA) A31505 · Other (CA) 1366500514 · Other 1811050081 · Other A25451 · Other (CA) WA25691E · Other WA31505B · Other 1114085362 · Other WA25451C · Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 1 | 2 | 0 | 2 | 9 | 9 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 2 | 2 | 0 | 2 | 9 | 9 | 0 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.