1699439232 NPI number — HEARTBEAT MEDICAL GROUP OF CALIFORNIA, P.C.

NPI Number: 1699439232
Health Care Provider/Practitioner: HEARTBEAT MEDICAL GROUP OF CALIFORNIA, P.C.

NPI Number : 1699439232 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699439232",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "JEFFREY D. WESSLER, M.D., P.C.",
    "ParentOrgTIN": null,
    "OrgName": "HEARTBEAT MEDICAL GROUP OF CALIFORNIA, P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "156 W 56TH ST STE 1000",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10019-3936",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "646-586-9908",
    "MailingAddressFaxNumber": "844-875-6663",
    "FirstLinePracticeLocationAddress": "818 W 7TH ST STE 930",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90017-3476",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "646-586-9908",
    "PracticeLocationAddressFaxNumber": "844-875-9993",
    "EnumerationDate": "10/29/2021",
    "LastUpdateDate": "05/16/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WESSLER",
    "AuthorizedOfficialFirstName": "JEFFREY",
    "AuthorizedOfficialMiddleName": "D",
    "AuthorizedOfficialTitle": "CEO/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "646-586-9908",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}