Healthcare Provider Details

I. General information

NPI: 1578074514
Provider Name (Legal Business Name): CARDIA SENSE AMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2017
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 E 8TH ST STE 6
NATIONAL CITY CA
91950-2663
US

IV. Provider business mailing address

1415 E 8TH ST STE 6
NATIONAL CITY CA
91950-2663
US

V. Phone/Fax

Practice location:
  • Phone: 619-434-4288
  • Fax: 619-434-4315
Mailing address:
  • Phone: 619-434-4288
  • Fax: 619-434-4315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA124001
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA124001
License Number StateCA

VIII. Authorized Official

Name: STEVEN J ROUGH
Title or Position: PRESIDENT
Credential: MD
Phone: 215-287-8581