Healthcare Provider Details

I. General information

NPI: 1003547340
Provider Name (Legal Business Name): HEART AND VASCULAR CENTERS OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 PLUMAS ST
YUBA CITY CA
95991-3410
US

IV. Provider business mailing address

8787 COMPLEX DR STE 202
SAN DIEGO CA
92123-1451
US

V. Phone/Fax

Practice location:
  • Phone: 530-715-2900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: LINDA MICHELLE SALLEE
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 619-807-1981